Ellis Austin Goodwin
NPI 1972490571ActiveIndividual· Physical Therapist· Cayce, SC
Physical Therapist in Cayce, South Carolina, trained at Medical University of South Carolina College of Medicine (class of 2025). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1972490571 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 18, 2025 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 12983 | SC |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC) |
|---|
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Lexington Health IncWest Columbia, SC · 904 clinicians
Other physical therapists in Cayce
- 1063906279
- 1265899652
- 1386236552
- 1508500240
- 1609172840
- 1629841150
- 1639785538
- 1740829241
- 1811530942
- 1851961650
- 1932744323
- 1952066482
All 38 physical therapists in Cayce · All physical therapists in South Carolina