DR. JESSE RUSSELL MODICA P.T. D.P.T. M.S. NPI 1700043221

NPI Information

DR. Jesse Russell Modica, P.T., D.P.T., M.S. is an orthopedic physical therapist in San Rafael, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. DR. Jesse Russell Modica, P.T., D.P.T., M.S. NPI is 1700043221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

165 N REDWOOD DR
SUITE 120
SAN RAFAEL, CA
ZIP 94903-969
Phone: (415) 499-0278

The enumeration date for this NPI number is 5/21/2008 and was last updated on 4/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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