Active NPIIndividual providerSole proprietor

Dominique G Modesto, PT

Physical Therapist in Cape May Court House, New Jersey

NPI Number1891817367
Practice location
2 Stone Harbor Blvd, Cape May Court House, NJ 08210-2138
Fax
—
Last updated
July 8, 2007

Dominique Gomez Modesto is a Physical Therapist based in Cape May Court House, NJ. Dominique Gomez Modesto practices in Cape May Court House, NJ and has the professional credentials of PT. The NPI Number for Dominique Gomez Modesto is 1891817367 and holds a License No. 40QA00964000 (NJ). The current practice location address for Dominique Gomez Modesto is 2 Stone Harbor Blvd, Cape May Court House, NJ 08210-2138 and can be reached out via phone at 609-463-2000.

Provider Profile Details

NPI Number
1891817367
Provider Name
Dominique Gomez Modesto
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2 Stone Harbor Blvd, Cape May Court House, NJ 08210-2138
Phone Number
609-463-2000
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Zip
08210-2138
Phone Number
609-463-2000
Cape May Court House, NJ 08210Get directions →

Provider Business Mailing Address Details

Address
258 Churchill Dr
Egg Harbor Township, NJ 08234-8002
City
Egg Harbor Township
State
NJ
Zip
08234-8002
Phone Number
609-653-2798
Fax Number
609-653-2798

License Information

License Number
40QA00964000
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Dominique G Modesto, PT?

The NPI number of Dominique G Modesto, PT is 1891817367. It was assigned on April 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dominique G Modesto, PT?

Dominique G Modesto, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00964000.

Where does Dominique G Modesto, PT practice?

The practice location is 2 Stone Harbor Blvd, Cape May Court House, NJ 08210-2138. The office can be reached at 609-463-2000 (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 1891817367 directly on the NPPES registry website.

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