Individual provider Active NPI

Mary Modisette

  • Occupational Therapist
  • Salinas, CA
National Provider Identifier
1881459436
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10408 Issued in CA
Practice address
611 Abbott St Ste 101
Salinas, CA 93901-4391
Phone
(831) 757-3041
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10408 CA Primary

Addresses

Primary practice location

611 Abbott St Ste 101
Salinas, CA 93901-4391

Mailing address

59 Muckelemi St Apt 102
San Juan Bautista, CA 95045-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423003859 CA Practitioner - Occupational Therapist in Private Practice 2365881315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

611 Abbott St
Suite 100
Salinas, CA 93901-4391
Phone (831) 757-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Mar 10, 2024 Accepting new patients
Svmhs Clinics CurrentSince Mar 10, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

611 Abbott St
Ste 101
Salinas, CA 93901
Phone (831) 676-3573

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

611 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 755-3578

Organizations & group practices 3

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1881459436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MUCKELEMI ST APT 102",
            "city": "SAN JUAN BAUTISTA",
            "state": "CA",
            "postal_code": "950459335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014391",
            "telephone_number": "831-757-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODISETTE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.