Jace Modrell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

099040 Issued in IA

Practice address

6001 Westown Pkwy
West Des Moines, IA 50266-7719

Phone

(515) 224-1414

Fax

(515) 224-5140

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Des Moines Orthopaedic Surgeons PCGroup PAC ID 0345141719, 104 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.25 of 100Reported as group

Quality

80.42

Promoting interoperability

39

Improvement activities

40

Cost

77.9

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.

• Des Moines Orthopaedic Surgeons PC

  • Orthopaedic Surgery Physician
  • West Des Moines, IA
  • NPI 1255405221
  Medicare reassignment Care Compare group NPD
• Bartek Therapy Services, Inc.

  • Physical Therapist
  • Johnston, IA
  • NPI 1306899562
  Medicare reassignment NPD
• Des Moines Orthopaedic Surgeons PC

  • Durable Medical Equipment & Medical Supplies
  • Urbandale, IA
  • NPI 1114783719
  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1679105944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667719",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667719",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 100th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503227212",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 SW Westview Dr",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500232755",
            "country_code": "US",
            "telephone_number": "712-870-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 NE 36th St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500216728",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Pennsylvania Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503162365",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODRELL",
        "first_name": "JACE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "093267",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "099040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Mintzer, M.D.
• Catherine M Mitchell, DPT
• Courtney Mitten, DNP, ARNP, PMHNP-BC
• ML Counseling, LLC
• Mmci LLC
• Brenna Rae Moen, MA, CCC-SLP
• Abigail Moers
• Ross Stuart Moffat
• Mohamed Hassan MD PLLC
• Ifrah Mohamed

• Physical Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.