Active NPIIndividual provider

Mr. Anthony J Modica, PTA

Physical Therapy Assistant in Louisville, Kentucky

NPI Number1528662756
Practice location
2701 Chestnut Station CT, Louisville, KY 40299-6395
Fax
—
Last updated
November 29, 2020

Anthony Joseph Modica is a Physical Therapy Assistant based in Louisville, KY. Anthony Joseph Modica practices in Louisville, KY and has the professional credentials of PTA. The NPI Number for Anthony Joseph Modica is 1528662756 and holds a License No. 9797 (MA). The current practice location address for Anthony Joseph Modica is 2701 Chestnut Station CT, Louisville, KY 40299-6395 and can be reached out via phone at 108-335-1060.

Provider Profile Details

NPI Number
1528662756
Provider Name
Anthony Joseph Modica
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
2701 Chestnut Station CT, Louisville, KY 40299-6395
Phone Number
108-335-1060
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 29, 2020
Last Update Date
November 29, 2020
Certification Date
November 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2701 Chestnut Station CT
Louisville, KY 40299-6395
Zip
40299-6395
Phone Number
108-335-1060
Louisville, KY 40299Get directions →

Provider Business Mailing Address Details

Address
63 Chamberlain RD
Uxbridge, MA 01569-1669
City
Uxbridge
State
MA
Zip
01569-1669
Phone Number
508-272-4146

License Information

License Number
9797
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Anthony J Modica, PTA?

The NPI number of Mr. Anthony J Modica, PTA is 1528662756. It was assigned on November 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Anthony J Modica, PTA?

Mr. Anthony J Modica, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 9797.

Where does Mr. Anthony J Modica, PTA practice?

The practice location is 2701 Chestnut Station CT, Louisville, KY 40299-6395. The office can be reached at 108-335-1060 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528662756 directly on the NPPES registry website.

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