Individual provider · Type 1 NPI

Matthew Blake Goodwin, PT

Physical Therapist · Southaven, MS

NPI number 1972432912 Active

Practice location

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851

Fax (901) 261-2590

Mailing address

6077 E Primacy Pkwy Ste 140
Memphis, TN 38119-5754

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X8146 (MS)

Physical Therapist: 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, r…

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About NPI 1972432912

Matthew Blake Goodwin, PT's National Provider Identifier is 1972432912, issued on May 15, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Southaven, MS. The record was last updated on Aug 6, 2026.