Individual provider Active NPI

Robert Wayne Goodwin, ORTHOTIC FITTER

  • Orthotic Fitter
  • Ormond Beach, FL
National Provider Identifier
1932008554
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
ORF302 Issued in FL
Practice address
533 N Nova Rd Ste 109
Ormond Beach, FL 32174-4420
Phone
(386) 310-4359
Fax
(386) 310-4394
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X ORF302 FL Primary

Addresses

Primary practice location

533 N Nova Rd Ste 109
Ormond Beach, FL 32174-4420

Mailing address

533 N Nova Rd Ste 109
Ormond Beach, FL 32174-4420
Phone (386) 310-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1932008554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 109",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-310-4359",
            "fax_number": "386-310-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 109",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744420",
            "telephone_number": "386-310-4359",
            "fax_number": "386-310-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "ORTHOTIC FITTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "FL",
            "license": "ORF302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.