Regina Raquelle Modzel, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000181 Issued in DC

Practice address

102 Irving St NW
Washington, DC 20010-2921

Phone

(202) 877-1000

NPI assigned

Feb 4, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1265997357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 14TH ST NW APT 402",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053786",
            "telephone_number": "330-417-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102921",
            "telephone_number": "202-877-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODZEL",
        "first_name": "REGINA",
        "middle_name": "RAQUELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DC",
            "license": "PTA000181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideen Modarres, DDS
• Modern Healthcare Resources, Inc.
• Shruhi N Modi, PA-C
• Katharine Lyons Modisett, M.D.
• Synthyche Modjom Kamga
• Letumile Rodgers Moeng, MD
• Masango Mofa
• Samuel Alexander Moffet
• Kayla Ellise Moffett, MD
• Nigel O'Don Moffitt-Shabazz

• Physical Therapy Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapy Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.