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

Jeremiah Ronald Goodwin, PT

Individual provider Physical Therapist · NPI 1013965763

Jeremiah Ronald Goodwin, PT is a Physical Therapist in Sanford, Florida. Licensed in Florida and Tennessee. Registered with an NPI since 2006.

Licensed in
FL, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

950 S Mellonville Ave
Sanford, FL 32771-2237
Phone: (407) 322-8566
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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 28252 (FL)
Physical Therapist Taxonomy 225100000X · Licence 10115 (TN)

Record details

NPI number1013965763
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address950 S Mellonville Ave, Sanford, FL 32771-2237

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