Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MATTHEW BLAKE GOODWIN PT
NPI 1972432912
Physical Therapist in Southaven, MS

Active since May 15, 2026
7111 SOUTHCREST PKWY STE 105, SOUTHAVEN, MS 38671(901) 261-2506(901) 261-2590 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, May 21, 2026, May 15, 2026 (3 updates tracked since 2026).

About Matthew Blake Goodwin Pt NPPES

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

MATTHEW BLAKE GOODWIN PT (NPI 1972432912) is an individual physical therapist in Southaven, Mississippi, licensed in Mississippi (8146) and active in the NPI registry since May 2026. He is a graduate of University Of Tennessee, Hsc, College Of Medicine (2026).

NPPES Registry Identity

NPI1972432912
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMATTHEW BLAKE GOODWINCredential: PT
Location Address7111 SOUTHCREST PKWY STE 105Southaven, MS 38671-4851
Mailing Address6077 E Primacy Pkwy Ste 140Memphis, TN 38119-5754 · (901) 725-8347 · Fax (901) 259-7637
Fax(901) 261-2590
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2026
Enumeration DateMay 15, 2026
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1972432912 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 · 8146
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.
7111 SOUTHCREST PKWY STE 105, Southaven, MS 38671

Other Identifiers 2

Other8146MS · Ms License
OtherCP060784TTN · Tn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Blake Goodwin Pt 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 ID4789155854
PECOS Enrollment IDI20260609003639

Other Providers at the Same Location NPPES 6

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

Physical Therapist
7111 SOUTHCREST PKWY STE 105
SOUTHAVEN, MS 38671
Occupational Therapist
7111 SOUTHCREST PKWY STE 105
SOUTHAVEN, MS 38671
Physical Therapist
7111 SOUTHCREST PKWY STE 105
SOUTHAVEN, MS 38671
Physical Therapy Assistant
7111 SOUTHCREST PKWY STE 105
SOUTHAVEN, MS 38671
Physical Therapy Assistant
7111 SOUTHCREST PKWY STE 105
SOUTHAVEN, MS 38671
Physical Therapist
7111 SOUTHCREST PKWY STE 105
SOUTHAVEN, MS 38671

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 Matthew Goodwin's NPI number?

The NPI number for Matthew Goodwin is 1972432912. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Matthew Goodwin located?

Matthew Goodwin practices at 7111 Southcrest Pkwy Ste 105, Southaven, MS 38671. The listed phone number is (901) 261-2506.

What is Matthew Goodwin's specialty?

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

Is Matthew Goodwin enrolled in Medicare?

Yes. Matthew Goodwin 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.

When was this NPI record last updated?

The NPPES record for Matthew Goodwin was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.