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

Matthew Blake Goodwin, PT

Individual provider Physical Therapist · NPI 1972432912

Matthew Blake Goodwin, PT is a Physical Therapist in Private Practice in Southaven, Mississippi. Graduated from University of Tennessee, Hsc, College of Medicine in 2026. Practices with MSK Group PC, a 139-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MS
In the registry since
2026
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

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851
Phone: (901) 261-2506
Fax: (901) 261-2590
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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 8146 (MS)

Record details

NPI number1972432912
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 15, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2026 (0 years in practice)
Group practice Msk Group Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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