SEJAL PRIYALKUMAR MODI
NPI 1669981643
Physical Therapist in Edison, NJ

Active since September 22, 2017Accepts Medicare Assignment
323 HORIZON DR, EDISON, NJ 08817(405) 778-0474 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Sep 22, 2017 (2 updates tracked since 2017).

About Sejal Priyalkumar Modi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEJAL PRIYALKUMAR MODI (NPI 1669981643) is an individual physical therapist in Edison, New Jersey, licensed in New York (041718-1) and active in the NPI registry since September 2017. She maintains a secondary practice location in New York and is a graduate of Other (2011).

NPPES Registry Identity

NPI1669981643
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSEJAL PRIYALKUMAR MODI
Location Address323 HORIZON DREdison, NJ 08817-5750
Mailing Address323 Horizon DrEdison, NJ 08817-5750 · (405) 778-0474
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 22, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1669981643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 041718-1
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
323 HORIZON DR, Edison, NJ 08817

Secondary Practice Location 1

Location 1460 Grand StNew York, NY 10002-4058 · Phone (405) 778-0474

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sejal Priyalkumar Modi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608223474
PECOS Enrollment IDI20231116000247

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
836 services39 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
419 services39 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
416 services39 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
256 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sejal Modi's NPI number?

The NPI number for Sejal Modi is 1669981643. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Sejal Modi located?

Sejal Modi practices at 323 Horizon Dr, Edison, NJ 08817. The listed phone number is (405) 778-0474.

What is Sejal Modi's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sejal Modi enrolled in Medicare?

Yes. Sejal Modi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sejal Modi was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.