Active NPI
Debra S Modrowski, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1144635186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-5425
- Practice address
- 303 N Hurstbourne Pkwy
Louisville, KY 40222-5185 - Phone
- (502) 412-5847
- NPI assigned
- Jun 28, 2014
- Last updated
- Jun 28, 2014
- Sex
- Female
- 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 | PT-5425 | OH | Primary |
Addresses
Primary practice location
303 N Hurstbourne Pkwy
Louisville, KY 40222-5185
Mailing address
5811 Putter PL
Waterville, OH 43566-9429
Phone (419) 878-2303
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 |
|---|---|---|---|
| PT-5425 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403913600000",
"number": "1144635186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 PUTTER PL",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "435669429",
"telephone_number": "419-878-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N HURSTBOURNE PKWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225185",
"telephone_number": "502-412-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODROWSKI",
"first_name": "DEBRA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-28",
"last_updated": "2014-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-5425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.