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

Mr. Jacek Golis, MSPT

Individual provider Physical Therapist · NPI 1265412381

Mr. Jacek Golis, MSPT is a Physical Therapist in Private Practice in Pleasantville, New York. Qualified in 1999, 27 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

501 Washington Avenue Pleasantville Physical Therapy & Sports Care Pc
Pleasantville, NY 10570
Phone: (914) 741-2767
Fax: (914) 741-2776
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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 025552 (NY)

Record details

NPI number1265412381
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pleasantville