Active NPI
Corey Matthew Modrowski, PT, DPT
- Physical Therapist
- Toledo, OH
National Provider Identifier
1003253261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021362
- Practice address
- 2332 Newport Ave
Toledo, OH 43613-2757 - Phone
- (419) 290-8094
- NPI assigned
- May 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021362 | OH | Primary |
Addresses
Primary practice location
2332 Newport Ave
Toledo, OH 43613-2757
Mailing address
3130 Central Park W
Suite a
Toledo, OH 43617-1094
Phone (419) 841-9622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021362 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1003253261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 CENTRAL PARK W",
"address_2": "SUITE A",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171094",
"telephone_number": "419-841-9622",
"fax_number": "419-843-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2332 NEWPORT AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436132757",
"telephone_number": "419-290-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODROWSKI",
"first_name": "COREY",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-29",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT021362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.