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NPI Code Detail

MEDICARE: MR. CHRISTOPHER MATTHEW GOODWIN P.T.

MEDICARE:  MR. CHRISTOPHER MATTHEW GOODWIN  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistCP049544TNC
2225100000XPhysical Therapist1079754TX
3225100000XPhysical TherapistCP050541TOH
42251X0800XOrthopedic Physical Therapist1079754TX
52251S0007XSports Physical Therapist1079754TX
6225100000XPhysical TherapistCP050536TPA
7225100000XPhysical TherapistCP049545TSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T4082OTHERTXBCBS INDIVIDUAL

General Provider Information

NPI Number : 1750484978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER MATTHEW GOODWIN P.T.
Provider Business Mailing Address
First Line : 440 N BARRANCA AVE # 1801
Second Line :
City : COVINA
State : CA
Zip : 91723-1722
Country : US
Telephone Number : 800-924-7811
Fax Number : 877-349-1868
Provider Business Practice Location Address
First Line : 7008 SALEM AVE STE 117
Second Line :
City : LUBBOCK
State : TX
Zip : 79424-2226
Country : US
Telephone Number : 800-924-7811
Fax Number : 877-349-1868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 12/03/2025

Similar Medicare Providers

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Practice Location Address:
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1457387995 — DR. SARITHA G POTHULURI MD
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1801936885 — DR. DIANNE M SHUMAY PHD
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79424-2226
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1427298801 — JULIA HARGESHEIMER NP
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79424-2226
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1497082903 — MARY A. JAFFE FNP-BC
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1245540137 — MRS. SUSAN MICHELLE SHORT FNPC
Practice Location Address:
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Practice Fax: 877-349-1868

Directions to “ MR. CHRISTOPHER MATTHEW GOODWIN P.T.” Practice Location

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