Kenneth M Goodin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTT33065 Issued in FL

Practice address

14985 Old Saint Augustine Rd Unit 106
Jacksonville, FL 32258-9478

Phone

(904) 288-9491

Fax

(904) 288-9698

NPI assigned

Oct 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jacksonville Orthopaedic Institute IncGroup PAC ID 5193625499, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.01 of 100Reported as group

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacksonville Orthopaedic Institute Inc

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1346298023
  Medicare reassignment Care Compare group
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1346399698
  NPD (past)
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1780835439
  NPD (past)
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Ponte Vedra, FL
  • NPI 1801381835
  NPD (past)
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1891844130
  NPD (past)
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Jacksonville Beach, FL
  • NPI 1902954332
  NPD (past)
• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Fernandina Beach, FL
  • NPI 1942660212
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1932610011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687345",
            "telephone_number": "904-346-3465",
            "fax_number": "904-858-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14985 OLD SAINT AUGUSTINE RD UNIT 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589478",
            "telephone_number": "904-288-9491",
            "fax_number": "904-288-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODIN",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT33065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Goodfellow, BS, RBT
• Marlene S Goodfriend, MD
• Steven Goodfriend, MD
• Carl Robert Goodholm Jr., LCSW
• Dawn Cass Goodholm, REGISTERED DIETITIAN
• Elizabeth Goodlett, AU.D.
• Garrett Martin Goodlett, DC
• Angela Simone Goodman, CNM
• Bevan Alesia Goodman
• Erakal Goodman, CBHCMS

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.