Julie Konieczny Modzelewski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007618L Issued in PA

Practice address

523 Virginia Ave
Erie, PA 16505-2339

Phone

(814) 873-7515

NPI assigned

Nov 19, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Practice of Lecom Institute for Successful Living

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1326921487
  Medicare reassignment NPD

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1144181348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 VIRGINIA AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052339",
            "telephone_number": "814-881-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 VIRGINIA AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052339",
            "telephone_number": "814-873-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODZELEWSKI",
        "first_name": "JULIE",
        "middle_name": "KONIECZNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007618L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Diagnostic Test Serv Inc
• Mobile Medical Unit
• Jonathan Moctezuma, RN
• Amy Jo Moczulski, MA,CCC-SLP
• Jennifer Ann Moczulski, BCBA
• Maria Lee Modzelewski, ED.S.
• Tekyiah Nyree Moffett-Taylor
• Gregg Moffett, PHARM. D
• Sarah Moffett, PHARMD
• Bryan Mohney, DMD

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.