Glenn Dodge, DPT
NPI 1417021494ActiveIndividual· Physical Therapist· Ontario, OR
Physical Therapist (DPT) in Ontario, Oregon, licensed in OR, with an NPI issued in November 2006. Medicare paid $79,797 for services to 94 patients in 2024.
Overview
| NPI | 1417021494 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 3474 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 4,453 across 8 procedure codes |
| Paid by Medicare | $79,797 |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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