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

Kyle Goodwin, DPT

Individual provider Physical Therapist · NPI 1629612429

Kyle Goodwin, DPT is a Physical Therapist in Private Practice in Pasadena, Maryland. Qualified in 2019, 7 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
7
Licensed in
MD, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3708 Mountain Rd Ste D
Pasadena, MD 21122-2025
Phone: (410) 255-4833
Fax: (410) 255-4834
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2106 Executive Dr, Hampton, VA 23666-2402 — (757) 838-6678

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305214077 (VA)
Physical Therapist Taxonomy 225100000X · Licence 27753 (MD)

Record details

NPI number1629612429
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 5, 2019
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address350 New Fidelity Ct, Garner, NC 27529-2665

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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