Active NPI
Modalities Recovery Center
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Kenner, LA
National Provider Identifier
1023795119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2322292 | Modalities Recovery Center | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.