Adie Goodman, - Medicare Physical Therapist in Hattiesburg, MS

Adie Goodman, is a medicare enrolled "Physical Therapist" provider in Hattiesburg, Mississippi. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Active Recovery Llc and his current practice location is 3818 Hardy St Ste 20, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 602-4652.

Adie Goodman is licensed to practice in Mississippi (license number PT8073) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780561613.

Contact Information

Adie Goodman,
3818 Hardy St Ste 20,
Hattiesburg, MS 39402-1539
(601) 602-4652
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAdie Goodman
GenderMale
SpecialityPhysical Therapist In Private Practice
Experience1 Years
Location3818 Hardy St Ste 20, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adie Goodman graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1780561613
  • Provider Enumeration Date: 08/20/2025
  • Last Update Date: 08/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466956933
  • Enrollment ID: I20250917004132

Medical Identifiers

Medical identifiers for Adie Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780561613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT8073 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Active Recovery Llc07495223818

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adie Goodman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adie Goodman,
6060 Sam Goodman Rd,
Meridian, MS 39301-9541

Ph: () -
Adie Goodman,
3818 Hardy St Ste 20,
Hattiesburg, MS 39402-1539

Ph: (601) 602-4652

Reviews and Comments


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Nathan Samuel Reynolds, PT, DPT
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Phone: 601-268-5757    Fax: 601-579-5220

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.