JOHN MATTHEW TAN MODINA PT
NPI 1962141085
Physical Therapist - Orthopedic in Portland, OR
About John Matthew Tan Modina Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MATTHEW TAN MODINA PT (NPI 1962141085) is an individual orthopedic provider in Portland, Oregon, licensed in Oregon (64474) and active in the NPI registry since May 2022.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Matthew Tan Modina Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Matthew Modina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21231
- Reassigned Medicare billing, Maryland enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Matthew Modina's NPI number?
The NPI number for John Matthew Modina is 1962141085. It was assigned to this individual provider in the NPPES registry on May 27, 2022.
Where is John Matthew Modina located?
John Matthew Modina practices at 332 NE San Rafael St, Portland, OR 97212. The listed phone number is (503) 288-2615.
What is John Matthew Modina's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is John Matthew Modina enrolled in Medicare?
Yes. John Matthew Modina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Matthew Modina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Matthew Modina reassigns Medicare benefits to True Sports Physical Therapy, LLC (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Matthew Modina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Matthew Modina was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John Matthew Tan Modina, PT · NPI 1962141085
Orthopedic provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 27, 2022.
## Identity
- **NPI:** 1962141085 (Entity type: Individual)
- **Enumerated:** May 27, 2022
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 64474 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 332 NE SAN RAFAEL ST, Portland, OR 97212-3948
- **Phone:** (503) 288-2615
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** True Sports Physical Therapy, LLC (NPI 1114357340, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962141085) · Data from the CMS NPPES public registry.