Sonal R Modi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00345400 Issued in NJ

Practice address

1 Ross Ave
Demarest, NJ 07627-2609

Phone

(201) 767-7267

Fax

(201) 750-2477

NPI assigned

Jan 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232236800000",
    "number": "1124265780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSS AVE",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076272609",
            "telephone_number": "201-767-7267",
            "fax_number": "201-750-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSS AVE",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076272609",
            "telephone_number": "201-767-7267",
            "fax_number": "201-750-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "SONAL",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-18",
        "last_updated": "2009-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00345400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeo Jin Lee, AGPCNP-BC
• Dana Bach Lindbloom, MS, CCC-SLP
• Emmett Charles Line, LAC
• Madison Medical Supplies
• Michi Nutrition
• Melissa Alexis Neustein, OTR/L
• Vivian F. Olsen, ED.D.
• Renelle Velez Pinos
• Helen Selvarani Richards, M.D.
• S T Ibrahim Medical P.C

• Physical Therapist in Demarest, NJ
• Providers in Demarest, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.