ADIE GOODMAN
NPI 1780561613
Physical Therapist in Hattiesburg, MS

Active since August 20, 2025Accepts Medicare Assignment
3818 HARDY ST STE 20, HATTIESBURG, MS 39402(601) 602-4652 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adie Goodman NPPES

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

ADIE GOODMAN (NPI 1780561613) is an individual physical therapist in Hattiesburg, Mississippi, licensed in Mississippi (PT8073) and active in the NPI registry since August 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1780561613
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameADIE GOODMAN
Location Address3818 HARDY ST STE 20Hattiesburg, MS 39402-1539
Mailing Address6060 Sam Goodman RdMeridian, MS 39301-9541
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1780561613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MS · PT8073
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3818 HARDY ST STE 20, Hattiesburg, MS 39402

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adie Goodman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466956933
PECOS Enrollment IDI20250917004132

Medicare Billing Reassignment

Medicare enrollment records show Adie Goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
3818 HARDY ST # 20
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Mississippi enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Physical Therapist
3818 HARDY ST STE 20
HATTIESBURG, MS 39402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adie Goodman's NPI number?

The NPI number for Adie Goodman is 1780561613. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Adie Goodman located?

Adie Goodman practices at 3818 Hardy St Ste 20, Hattiesburg, MS 39402. The listed phone number is (601) 602-4652.

What is Adie Goodman's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Adie Goodman enrolled in Medicare?

Yes. Adie Goodman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Adie Goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adie Goodman reassigns Medicare benefits to Active Recovery LLC (Hattiesburg, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adie Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adie Goodman was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.