Joshua Allan Modica, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5670 Issued in TX

Practice address

One Utsa Circle
San Antonio, TX 78249-1644

Phone

(417) 379-5908

Fax

(210) 458-4199

NPI assigned

Jul 24, 2017

Sex

Male

Sole proprietor

No

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1477076248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20319 LIATRIS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE UTSA CIRCLE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491644",
            "telephone_number": "417-379-5908",
            "fax_number": "210-458-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODICA",
        "first_name": "JOSHUA",
        "middle_name": "ALLAN",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modelohz Association
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• Modk Monitoring PLLC
• Modupeola Adedeji
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• Priti Mody-Bailey, M.D.
• Roderick Donald Moe Jr., MD

• Athletic Trainer in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.