Organization Active NPI

Modalities Recovery Center

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Kenner, LA
National Provider Identifier
1023795119
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
MODALITIES RECOVERY CENTER
Practice address
4228 Williams Blvd Ste 201
Kenner, LA 70065-2270
Phone
(786) 763-7330
NPI assigned
Jun 29, 2023
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Mr. David Freixas
Title
Manager
Phone
(786) 763-7330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

4228 Williams Blvd Ste 201
Kenner, LA 70065-2270

Mailing address

4228 Williams Blvd Ste 201
Kenner, LA 70065-2270
Phone (504) 224-8400

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2322292Modalities Recovery Center4228 Williams Blvd, Ste 201, Kenner, LA 70065Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1023795119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 WILLIAMS BLVD STE 201",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652270",
            "telephone_number": "504-224-8400",
            "fax_number": "504-272-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 WILLIAMS BLVD STE 201",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652270",
            "telephone_number": "786-763-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODALITIES RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "FREIXAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-763-7330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.