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DR. JESSE RUSSELL MODICA P.T., D.P.T., M.S.
NPI 1700043221
Physical Therapist - Orthopedic in San Rafael, CA

Active since May 21, 2008
165 N REDWOOD DR, SUITE 120, SAN RAFAEL, CA 94903(415) 499-0278 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jesse Russell Modica P.t., D.p.t., M.s. NPPES

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

DR. JESSE RUSSELL MODICA P.T., D.P.T., M.S. (NPI 1700043221) is an individual orthopedic provider in San Rafael, California, licensed in California (33875) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1700043221
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JESSE RUSSELL MODICACredential: P.T., D.P.T., M.S.
Location Address165 N REDWOOD DR, SUITE 120San Rafael, CA 94903-1969
Mailing Address165 N Redwood Dr, Suite 120San Rafael, CA 94903-1969 · (414) 499-0278
Phone(415) 499-0278
Sole ProprietorNo
Enumeration DateMay 21, 2008
Last NPPES UpdateApril 10, 2020
NPPES CertifiedApril 10, 2020
✔ NPI 1700043221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 33875
Definition
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.
165 N REDWOOD DR, San Rafael, CA 94903
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIN PHYSICAL THERAPY, INC.
Specialist
165 N REDWOOD DR, SUITE #120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
MS. ALISSA MICHELLE SANCHEZ P.T.
Physical Therapist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
ALYSSA KEENEY-ROE PT, MS
Physical Therapist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
MR. MATT W SELLERS P.T.
Specialist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
MR. ANDREW EDWARD KELLY P.T.
Physical Therapist
165 N REDWOOD DR
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
MR. JOHN CHRIS BESONIS P.T.
Physical Therapist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278

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 Jesse Modica's NPI number?

The NPI number for Jesse Modica is 1700043221. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Jesse Modica located?

Jesse Modica practices at 165 N Redwood Dr Suite 120, San Rafael, CA 94903. The listed phone number is (415) 499-0278.

What is Jesse Modica's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jesse Modica was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.