WENDY E. GOODWIN M.D.
NPI 1053472704
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in San Antonio, TX

Q: What is Wendy Goodwin's NPI number?

The NPI number for Wendy Goodwin is 1053472704. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Wendy Goodwin's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Goodwin was last updated on April 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 13, 2006PECOS Enrolled

4647 MEDICAL DR, SAN ANTONIO, TX 78229(210) 644-7902(210) 644-7937 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Wendy E. Goodwin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY E. GOODWIN M.D. (NPI 1053472704) is an individual pediatric rehabilitation medicine provider in San Antonio, Texas, licensed in Texas (M5191) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1053472704

Entity TypeIndividualFemale

Primary Taxonomy2081P0010X

Provider Legal NameWENDY E. GOODWINCredential: M.D.

Location Address4647 MEDICAL DRSan Antonio, TX 78229-4403

Mailing Address4647 Medical DrSan Antonio, TX 78229-4403 · (210) 644-7902 · Fax (210) 644-7937

Phone(210) 644-7902

Fax(210) 644-7937

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateApril 23, 2026

NPPES CertifiedApril 23, 2026

✔ NPI 1053472704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

License✔ Licensed in TX · M5191

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License M5191 (TX)

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License M5191 (TX)

4647 MEDICAL DR, San Antonio, TX 78229

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Secondary Practice Location 1

Location 15323 Harry Hines Blvd, Dept. of Physical Medicine & RehabilitationDallas, TX 75390-7201 · Phone (214) 648-2733

Other Identifiers 1

OtherM5191TX · License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendy E. Goodwin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHANNA L. VIDOLA

Occupational Therapist