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

Mr. Jason Robert Gough, MSPTCBIS

Individual provider Physical Therapist · NPI 1598983215

Mr. Jason Robert Gough, MSPTCBIS is a Physical Therapist in Longview, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

3202 4th St
Longview, TX 75605-5217
Phone: (903) 753-6635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11937 Us Highway 271, Tyler, TX 75708-3154 — (903) 877-8702

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1148230 (TX)

Record details

NPI number1598983215
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPTCBIS
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

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