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Katryna Goodman

Contractor β€’ Eustis, FL

Active NPI 1417282492 Individual Practitioner Female Practitioner
Practice location in NPPES

19111 Park Place Blvd
Eustis, FL 327367262

Call 3173880800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

19111 Park Place Blvd

Eustis, FL 327367262

Telephone 3173880800
Fax 3173880805
Organization at the Same NPPES Address or Phone
Access Therapies At Home Facility NPI 1255364758

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1999

Years since graduation

27 years (graduated 1999)

CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katryna Goodman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Eustis and Florida

1 active clinicians are listed under Contractor with a practice address in Eustis, FL (753 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-04
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

License # reported to NPPES GA 009436

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20251001004978

Enrollment State Jurisdiction

FL

PECOS Control ID

0840796488

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1114225182
Chelo Borja

Physical Therapist

NPI 1023261864
Florentino Ferrer , PT

Physical Therapist

NPI 1053445338

Physical Therapist

NPI 1124142302

Registered Physical Therapist

Siddhi Sawant

Physical Therapist

NPI 1114341401

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 04, 2024

Registered at 19111 PARK PLACE BLVD, EUSTIS, FL 327367262 (Tel: 3173880800)

πŸ“
Updated Business Mailing Address September 04, 2024

Registered at 19111 PARK PLACE BLVD, EUSTIS, FL 327367262 (Tel: 5138146708)

πŸ‘€
Provider Name / Credentials Updated September 04, 2024

Recorded as KATRYNA GOODMAN

βœ…
NPI Profile Active October 09, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 09, 2009

Registered at 5980 W 71ST ST STE 102, INDIANAPOLIS, IN 462781785 (Tel: 3173880800)

πŸ“
Business Mailing Address (Initial Record) October 09, 2009

Registered at 5980 W 71ST ST STE 102, INDIANAPOLIS, IN 46278 (Tel: 3173880800)

πŸ‘€
Provider Name / Credentials (Initial Record) October 09, 2009

Recorded as KATRYNA TURINGAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2009

Contractor (license number reported to NPPES: GA 009436)

🟒
Initial NPI Registration & Enumeration October 09, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417282492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2009
Last Update: September 04, 2024
Sole Proprietor: Yes

Mailing Address

19111 Park Place Blvd

Eustis, FL 327367262

Phone: 5138146708

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.