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MR. JACEK GOLIS MS PT
NPI 1265412381
Physical Therapist in Pleasantville, NY

Active since January 17, 2006Accepts Medicare Assignment
94.3/100
CMS Quality Rating
501 WASHINGTON AVENUE, PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE PC, PLEASANTVILLE, NY 10570(914) 741-2767(914) 741-2776 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jacek Golis Ms Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACEK GOLIS MS PT (NPI 1265412381) is an individual physical therapist in Pleasantville, New York, licensed in New York (025552) and active in the NPI registry since January 2006. He is a graduate of Other (1999).

NPPES Registry Identity

NPI1265412381
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JACEK GOLISCredential: MS PT
Location Address501 WASHINGTON AVENUE, PLEASANTVILLE PHYSICAL THERAPY & SPORTS CARE PCPleasantville, NY 10570
Mailing Address501 Washington Avenue, Pleasantville Physical Therapy & Sports Care PcPleasantville, NY 10570 · (914) 741-2767 · Fax (914) 741-2776
Phone(914) 741-2767
Fax(914) 741-2776
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265412381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 025552
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
501 WASHINGTON AVENUE, Pleasantville, NY 10570
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Other Identifiers 10

Other7022766Aetna Ppo
Other0013701Orthonet Aetna Hmo
Medicare ID-Type UnspecifiedQ08M91
Other0222701Orthonet Cigna Hmo
Other0222701Orthonet Healthnet
OtherQ34B8Empire Bcbs
Medicare UPINQ08M91
Other0222701Orthonet Usfh
Other1177828Aetna Hmo
Other0764866Cigna Ppo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacek Golis Ms Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547258428
PECOS Enrollment IDI20040501000294

Medicare Billing Reassignments

2

Medicare enrollment records show Jacek Golis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rye Brook Physical Medicine And Rehabilitation, P.C.
1.7 mi
Physical Medicine & Rehabilitation
879 COMMERCE ST
Thornwood, NY 10594
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Rye Brook Physical Medicine And Rehabilitation PC
  • 8 clinicians in this Medicare group
NPI 1891141750 (914) 481-5900
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path
12 mi
Physical Therapist
550 MAMARONECK AVE, SUITE 104
Harrison, NY 10528
  • Reassigned Medicare billing, New York enrollment
  • 335 clinicians in this Medicare group
NPI 1396799409 (914) 777-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
2,399 services157 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,372 services154 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,230 services141 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
488 services90 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
63 services55 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
25 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.3
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacek Golis's NPI number?

The NPI number for Jacek Golis is 1265412381. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Jacek Golis located?

Jacek Golis practices at 501 Washington Avenue Pleasantville Physical Therapy & Sports Care PC, Pleasantville, NY 10570. The listed phone number is (914) 741-2767.

What is Jacek Golis's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jacek Golis enrolled in Medicare?

Yes. Jacek Golis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacek Golis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacek Golis reassigns Medicare benefits to 2 organizations: Rye Brook Physical Medicine And Rehabilitation, P.C. (Thornwood, NY) and Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Harrison, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacek Golis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacek Golis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.