Ishankumar Modi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39789 Issued in CA

Practice address

599 Menlo Dr Ste 200
Rocklin, CA 95765-3725

Phone

(619) 203-8616

NPI assigned

Jul 12, 2010

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Carpinteria LLC

  • Skilled Nursing Facility
  • Menlo Park, CA
  • NPI 1003451915

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Coronado Bay, LLC

  • Skilled Nursing Facility
  • Manteca, CA
  • NPI 1053063685

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Hamoa LLC

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1124663034

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Napili Bay, LLC

  • Skilled Nursing Facility
  • Los Banos, CA
  • NPI 1770235319

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Newport LLC.

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1255938015

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Peahi Bay, LLC

  • Skilled Nursing Facility
  • Modesto, CA
  • NPI 1811646987

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Three Arch, LLC

  • Skilled Nursing Facility
  • Saratoga, CA
  • NPI 1235604646

  Corporate Director, Operational/Managerial Control

  CMS ownership
• Trestles LLC

  • Skilled Nursing Facility
  • Sacramento, CA
  • NPI 1508401423

  Corporate Director, Operational/Managerial Control

  CMS ownership

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.

• Unh Physical Therapy Corp

  • Physical Therapist
  • Rocklin, CA
  • NPI 1902530785
  Medicare reassignment NPD Authorized official
• Access Therapies,Inc

  • Environmental Modification Occupational Therapist
  • Indianapolis, IN
  • NPI 1780013607
  NPD (past)
• Healing Therapeutics Physical Therapy PLLC

  • Physical Therapist
  • Port Chester, NY
  • NPI 1144217415
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1710299342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 MENLO DR STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653725",
            "telephone_number": "619-203-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 MENLO DR STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653725",
            "telephone_number": "619-203-8616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 W 71st St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462781785",
            "country_code": "US",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODI",
        "first_name": "ISHANKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010684A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Joy Miyachi
• Brandon K Miyashiro, DPT
• MK Neuropsychology Services, PC
• Jazzmon Mobley
• Christopher Modi
• Skyler Moebus
• Mohamed H Khan MD Inc
• Estera Moldovan
• Madelynn Therese Momeyer
• Hailey Paige Monaco

• Physical Therapist in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.