Active NPI
Mary Modisette
- Occupational Therapist
- Salinas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10408
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svmhs Clinics | Current | Accepting new patients | |
| Svmhs Clinics | Current | 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.
-
- Multi-Specialty Clinic/Center
- Salinas, CA
- NPI 1093158347
-
- Physical Therapist
- Salinas, CA
- NPI 1518486893
-
- Specialist
- Salinas, CA
- NPI 1134279532
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.