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

James-Tyler Dodge

Individual provider Physical Therapist · NPI 1790405496

James-Tyler Dodge is a Physical Therapist in Private Practice in Ardsley, New York. Graduated from New York Medical College in 2022, 4 years ago. Practices with Jr Physical Therapy Dobbs Ferry PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Trained at
New York Medical College
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

15 Center St # 1
Ardsley, NY 10502-1805
Phone: (914) 488-5763
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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 049253 (NY)

Record details

NPI number1790405496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2022
Last updated in NPPESSeptember 1, 2022
Certification dateAugust 29, 2022
Mailing address15 Center St # 1, Ardsley, NY 10502-1805

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2022 (4 years in practice)
Group practice Jr Physical Therapy Dobbs Ferry Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ardsley