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

Tyler Roden

Individual provider Physical Therapist · NPI 1043692031

Tyler Roden is a Physical Therapist in Private Practice in Coram, New York. Qualified in 2014, 12 years ago. Practices with Island Sports Physical Therapy of Coram PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

607 Middle Country Rd
Coram, NY 11727-3362
Phone: (631) 732-3900
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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 038360 (NY)

Record details

NPI number1043692031
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESApril 18, 2017
Mailing address607 Middle Country Rd, Coram, NY 11727-3362

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Island Sports Physical Therapy Of Coram Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coram