Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellis Austin Goodwin

Individual provider Physical Therapist · NPI 1972490571

Ellis Austin Goodwin is a Physical Therapist in Private Practice in Cayce, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2025, 1 year ago. Practices with Lexington Health Inc, a 903-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3799 12th Street Ext Ste 100
Cayce, SC 29033-3750
Phone: (803) 926-6810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12983 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972490571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 18, 2025
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address7308 Coachmaker Rd, Columbia, SC 29209-2406

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Lexington Health Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cayce