Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Gough, DPT

Individual provider Physical Therapist · NPI 1639749583

Jason Gough, DPT is a Physical Therapist in Private Practice in Salem, Oregon. Qualified in 2009, 17 years ago. Practices with Pain Solutions Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Licensed in
OR
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2416 13th St SE Ste B
Salem, OR 97302-2546
Phone: (503) 894-2826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5979 (OR)

Record details

NPI number1639749583
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJuly 1, 2021
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address623 Golden Eagle St, Salem, OR 97304-4271

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pain Solutions Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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