Devanshi Modi, P.T,C.M.P, CERT. MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01732700 Issued in NJ

Practice address

646 Route 18 North
Suite 110, Building B
East Brunswick, NJ 08816

Phone

(551) 208-3234

Fax

(855) 282-5632

NPI assigned

Jan 9, 2016

Reactivated

Aug 22, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spineck Physical Therapy LLCGroup PAC ID 1759614340, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Spineck Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • East Brunswick, NJ
  • NPI 1720643372

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• New York Bone and Joint Specialists, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1811060619
  Medicare reassignment NPD
• Bayshore Rehab Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Holmdel, NJ
  • NPI 1033153135
  NPD (past)
• NKR LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Somerset, NJ
  • NPI 1841292984
  NPD (past)

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1326404161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 ROUTE 18 NORTH STE 110 BLDG B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163722",
            "telephone_number": "551-208-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 ROUTE 18 NORTH",
            "address_2": "SUITE 110, BUILDING B",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "551-208-3234",
            "fax_number": "855-282-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "DEVANSHI",
        "credential": "P.T,C.M.P, CERT. MDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-09",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "deactivation_date": "2018-05-14",
        "reactivation_date": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01732700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@spineckpt.com",
            "affiliation": "N",
            "address_1": "646 Route 18 North",
            "address_2": "suite 110, building b",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Narmin Farah Hussain Mizan, MD
• Sabry Moawad, D.D.S.
• Anne L Moch, MD
• Modern Dental Studio, P.C.
• Chirag Hasmukhlal Modi, MD
• Suresh P Mody, MD
• Samir E Mohamed
• Mark L Mokrzycki, MD
• Daniela Molina
• Michael Montalbano, PT, DPT

• Physical Therapist in East Brunswick, NJ
• Providers in East Brunswick, 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 Mar 4, 2022; 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.