Active NPI
Matthew Davie Modelane, DPT
- Physical Therapist
- Nashua, NH
National Provider Identifier
1386089886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3786
- Practice address
- 17 Riverside St
Nashua, NH 03062-1304 - Phone
- (603) 889-0177
- NPI assigned
- May 10, 2013
- Sex
- Male
- 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 | 3786 | NH | Primary |
Addresses
Primary practice location
17 Riverside St
Nashua, NH 03062-1304
Mailing address
34 One Stack Dr
Bow, NH 03304-4707
Phone (603) 889-0177
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 |
|---|---|---|---|
| 3786 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Therapy Services | Physical Therapist | Past | 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": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1386089886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ONE STACK DR",
"city": "BOW",
"state": "NH",
"postal_code": "033044707",
"telephone_number": "603-889-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 RIVERSIDE ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621304",
"telephone_number": "603-889-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODELANE",
"first_name": "MATTHEW",
"middle_name": "DAVIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.