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

Mr. Glenn Dodge, DPT

Individual provider Physical Therapist · NPI 1417021494

Mr. Glenn Dodge, DPT is a Physical Therapist in Private Practice in Ontario, Oregon. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
32
Licensed in
OR
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

198 S Oregon St
Ontario, OR 97914-2808
Phone: (541) 889-4550
Fax: (541) 889-4628
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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 3474 (OR)

Record details

NPI number1417021494
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address198 S Oregon Street, Ontario, OR 97914-2808

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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