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

Q: 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.

Q: What is Mary Modderman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Modderman was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

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: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

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 specialist in Lanham, Maryland, licensed in Maryland (01236) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1912124298

Entity TypeIndividualFemale

Primary Taxonomy174400000X

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

Phone(301) 567-8494

Sole ProprietorNo

Enumeration DateApril 19, 2007

Last NPPES UpdateMarch 12, 2025

NPPES CertifiedMarch 10, 2025

✔ NPI 1912124298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MD · 01236

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

HIGH ROAD LOWER SCHOOL, Lanham, MD 20706

Open in Google Maps ↗

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 Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Modderman was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.