Individual ProviderMichael C GoodhallPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445-2767(843) 642-8660(615) 373-1350PECOS EnrollmentBased on the most recent information from CMS, provider Michael C Goodhall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1740693944Provider TypeIndividualFull NameGoodhall, Michael CCredentialMPTGenderMaleSole ProprietorNoEnumeration Date6/4/2014Last Updated6/2/2021Contact InformationPractice LocationPractice Address514 Saint James Ave Unit G, Goose Creek, SC 29445-2767Phone(843) 642-8660FaxUnlisted FaxMailing LocationMailing AddressPO Box 306393, Nashville, TN 37230-6393Phone(615) 373-1350Fax(615) 373-7116Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4224South Carolina