Individual provider Active NPI

Tyler Dancause, PT, DPT, ATC

  • Physical Therapist
  • Arlington, VA
National Provider Identifier
1134715485
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215905 Issued in VA
Practice address
1415 N Taft St Apt 875
Arlington, VA 22201-2668
Phone
(585) 944-3700
NPI assigned
Dec 21, 2020
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046802 NY
Physical Therapist 225100000X PT031252 PA
Physical Therapist 225100000X 2305215905 VA Primary

Addresses

Primary practice location

1415 N Taft St Apt 875
Arlington, VA 22201-2668

Mailing address

1415 N Taft St Apt 875
Arlington, VA 22201-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023002931 NY Practitioner - Physical Therapist in Private Practice 4183019458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT031252PAMDPhysical Therapist
2305215905VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldwyn & Boyland Physical Therapy PC Physical Therapist CurrentSince Aug 12, 2023 Accepting new patients

Locations

1105 State Route 13
Cortland, NY 13045
Phone (607) 756-9886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1134715485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N TAFT ST APT 875",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N TAFT ST APT 875",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012668",
            "telephone_number": "585-944-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCAUSE",
        "first_name": "TYLER",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046802",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031252",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.