Active NPI
Tyler Dancause, PT, DPT, ATC
- Physical Therapist
- Arlington, VA
National Provider Identifier
1134715485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215905
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT031252 | PA | MD | Physical Therapist |
| 2305215905 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldwyn & Boyland Physical Therapy PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Cortland, NY
- NPI 1659576296
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
- Henry Tucker Dalton, M.D.
- Kelly Dalton, PHD, RD
- Sabaa Dam, PA-C
- Caroline Christina Damren, M.A., CCC-SLP
- Steven Marc Danaceau, M.D.
- Marjan T Daneshmand, PHARMD
- Anh-Tu Hong Dang, PHARMD
- Daniel Poth, O.D. and Associates, P.C. (Visionworks Doctors of Optometry)
- Daniels Dental Group
- Sandra D Daniels, D.D.S.
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.