Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARY J MODDERMAN OTR
NPI 1912124298
Occupational Therapist in Lanham, MD

Active since April 19, 2007
HIGH ROAD LOWER SCHOOL, 9701 PHILADELPHIA CT., LANHAM, MD 20706(301) 567-8494 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Mar 12, 2025 (2 updates tracked since 2025).

About Ms. Mary J Modderman Otr NPPES

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

MS. MARY J MODDERMAN OTR (NPI 1912124298) is an individual occupational therapist in Lanham, Maryland, licensed in Maryland (01236) and active in the NPI registry since April 2007. She is a graduate of Other (1969).

NPPES Registry Identity

NPI1912124298
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. MARY J MODDERMANCredential: OTR
Location AddressHIGH ROAD LOWER SCHOOL, 9701 PHILADELPHIA CT.Lanham, MD 20706
Mailing Address4107 Hamilton StHyattsville, MD 20781-1804 · (301) 277-4911
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateApril 19, 2007
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1912124298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MD · 01236
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedSpecialistTaxonomy 174400000X · License 01236 (MD)
HIGH ROAD LOWER SCHOOL, Lanham, MD 20706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary J Modderman Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668937152
PECOS Enrollment IDI20260724003455

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 Mary Modderman's NPI number?

The NPI number for Mary Modderman is 1912124298. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Mary Modderman located?

Mary Modderman practices at High Road Lower School 9701 Philadelphia Ct., Lanham, MD 20706. The listed phone number is (301) 567-8494.

What is Mary Modderman's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mary Modderman enrolled in Medicare?

Yes. Mary Modderman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Modderman was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.