Individual provider Active NPI

Payton A Modarelli, OTR

  • Occupational Therapist
  • Woodstock, GA
National Provider Identifier
1467082388
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007602 Issued in GA
Practice address
1000 Professional Pkwy
Woodstock, GA 30188-3873
Phone
(864) 979-8521
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4143 NH
Occupational Therapist 225X00000X 007602 GA Primary

Addresses

Primary practice location

1000 Professional Pkwy
Woodstock, GA 30188-3873

Mailing address

989 Muirfield Dr
Marietta, GA 30068-2643
Phone (803) 543-9805

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
007602GAMDOccupational Therapist
4143NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Services PastSince Jul 25, 2019 Accepting new patients
Remedy Behavioral Health, LLC PastSince Jan 15, 2020 Accepting new patients

Organizations & group practices 2

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1467082388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 MUIRFIELD DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682643",
            "telephone_number": "803-543-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PROFESSIONAL PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883873",
            "telephone_number": "864-979-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODARELLI",
        "first_name": "PAYTON",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "4143",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "007602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.