JOHN MATTHEW TAN MODINA PT
NPI 1962141085
Physical Therapist - Orthopedic in Portland, OR

Q: 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.

Q: What is John Matthew Modina's specialty?

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

Active since May 27, 2022

332 NE SAN RAFAEL ST, PORTLAND, OR 97212(503) 288-2615 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1962141085

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameJOHN MATTHEW TAN MODINACredential: PT

Location Address332 NE SAN RAFAEL STPortland, OR 97212-3948

Mailing Address10804 Ne 44th StVancouver, WA 98682-6610 · (360) 949-8491

Phone(503) 288-2615

Sole ProprietorNo

Enumeration DateMay 27, 2022

NPPES CertifiedMay 27, 2022

✔ NPI 1962141085 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 OR · 64474

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.

332 NE SAN RAFAEL ST, Portland, OR 97212

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Other Providers at the Same Location NPPES

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

SAVANNAH GROSSE DPT

Physical Therapist

332 NE SAN RAFAEL ST
PORTLAND, OR 97212

Multnomah County (503) 288-2615

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.

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.