JASON A GOUMAS (PT) – Physical Therapist, NPI 1255379111
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JASON A GOUMAS (PT)
1199 W Lexington Ave
Winchester, KY 403911134
Phone: (859) 737-5800
Fax: (859) 737-5801
Type: Location
280, Pasadena Drive, Deerfield, Lexington, Fayette County, Kentucky, 40503, United States
LEXINGTON, KY 405032925
Phone: (859) 278-1316
Fax: (859) 276-3847
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211216002377 | I | Physical Therapist In Private Practice | CO | TBD |
| I20220911000032 | I | Physical Therapist In Private Practice | WA | TBD |
| I20221011001717 | I | Physical Therapist In Private Practice | NV | TBD |
| I20230227002744 | I | Physical Therapist In Private Practice | MA | TBD |
| I20241016002663 | I | Physical Therapist In Private Practice | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40391)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | KY | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 118 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Hospice/Palliative Care, Internal Medicine | KY | |
| Pain Management, Anesthesiology | KY | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | KY | |
| - | KY | |
| Family Practice | KY | |
| Interventional Pain Management | KY | |
| Pain Management, Addiction Medicine, Anesthesiology, Interventional Pain Management | KY | |
| - | KY | |
| Physician Assistant | KY |
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