IAN LEI MODDE PT, DPT
NPI 1962279653
Physical Therapist - Pediatrics in Maryland Heights, MO

Q: What is Ian Modde's NPI number?

The NPI number for Ian Modde is 1962279653. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Ian Modde's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Ian Modde was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 04, 2023

11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043(314) 872-6400 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ian Lei Modde Pt, Dpt NPPES

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

IAN LEI MODDE PT, DPT (NPI 1962279653) is an individual pediatrics provider in Maryland Heights, Missouri and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1962279653

Entity TypeIndividualMale

Primary Taxonomy2251P0200X

Provider Legal NameIAN LEI MODDECredential: PT, DPT

Location Address11365 DORSETT RDMaryland Heights, MO 63043-3411

Mailing Address409 W Argonne DrSaint Louis, MO 63122-4133 · (314) 623-5017

Phone(314) 872-6400

Sole ProprietorNo

Enumeration DateDecember 4, 2023

NPPES CertifiedDecember 4, 2023

✔ NPI 1962279653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

11365 DORSETT RD, Maryland Heights, MO 63043

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Other Providers at the Same Location NPPES 20

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

MICHELLE L PIOLE CPNP

Nurse Practitioner (Pediatrics)