JOHN MATTHEW TAN MODINA PT NPI 1962141085

NPI Information

John Matthew Tan Modina, PT is an orthopedic physical therapist in Portland, OR. 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. John Matthew Tan Modina, PT NPI is 1962141085. 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:

332 NE SAN RAFAEL ST
PORTLAND, OR
ZIP 97212-948
Phone: (503) 288-2615

The enumeration date for this NPI number is 5/27/2022 and was last updated on 5/27/2022.

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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