IndividualActive
Ellis Goodwin
NPI 1972490571 · Physical Therapist · Cayce, SC
Provider details
- NPI number
- 1972490571
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12983 (SC)
Practice location
3799 12th Street Ext Ste 100
Cayce, SC 29033-3750
Phone: (803) 926-6810
Mailing address
7308 Coachmaker Rd
Columbia, SC 29209-2406
Registry dates
- Enumerated
- 2025-06-18
- Last updated
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.