Tyler Roden
NPI 1043692031ActiveIndividual· Physical Therapist· Coram, NY
Physical Therapist with Island Sports Physical Therapy of Coram PC, practicing in Coram, New York. Medicare paid $109,907 for services to 172 patients in 2024.
Overview
| NPI | 1043692031 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 25, 2015 |
| Last updated in NPPES | Apr 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 038360 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 172 |
|---|---|
| Services billed | 5,492 across 13 procedure codes |
| Paid by Medicare | $109,907 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Island Sports Physical Therapy of Coram PCCoram, NY · 5 clinicians
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All 20 physical therapists in Coram · All physical therapists in New York