Individual provider Active NPI

Amanda Laugois Modery, PT, DPT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1255036760
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27478 Issued in FL
Practice address
4837 Silver Topaz St
Sarasota, FL 34233-2435
Phone
(941) 726-4220
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27478 FL Primary

Addresses

Primary practice location

4837 Silver Topaz St
Sarasota, FL 34233-2435

Mailing address

4837 Silver Topaz St
Sarasota, FL 34233-2435
Phone (941) 726-4220

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

LicenseStateTypeSpecialty
PT27478FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Inmotion Therapy Physical Therapist CurrentSince Apr 23, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1255036760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 SILVER TOPAZ ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332435",
            "telephone_number": "941-726-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 SILVER TOPAZ ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332435",
            "telephone_number": "941-726-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODERY",
        "first_name": "AMANDA",
        "middle_name": "LAUGOIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.