National Provider Identifier

James J Modera, PT

James J Modera, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Geneva, NY and a listed phone number of (315) 789-0841.

NPI 1659473478Geneva, NYPhysical Therapist

Profile Overview

NPI
1659473478
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 02, 2006
Last Updated
July 08, 2007

Practice Location

  • 283 W North St
  • Geneva, NY 14456-1530

Phone: (315) 789-0841

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1659473478
Entity Type
Individual
Last Name
Modera
First Name
James
Middle Name
J
Credential
PT
Mailing Street Address
283 W North St
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1530
Mailing Country
US
Mailing Phone
(315) 789-0841
Mailing Fax
(315) 789-0330
Practice Street Address
283 W North St
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1530
Practice Country
US
Practice Phone
(315) 789-0841
Practice Fax
(315) 789-0330
Enumeration Date
September 02, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)