| Benjamin Modde, DPT | |
|
32 Dillon Plaza Dr, High Ridge, MO 63049-2478 | |
| (636) 677-3100 | |
| Not Available |
| Full Name | Benjamin Modde |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 32 Dillon Plaza Dr, High Ridge, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013550821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2019030595 (Missouri) | Primary |
| Provider Name | SSM Health Care Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Modde, DPT 409 W Argonne Dr, Kirkwood, MO 63122-4133 Ph: Not Available | Benjamin Modde, DPT 32 Dillon Plaza Dr, High Ridge, MO 63049-2478 Ph: (636) 677-3100 |
Advanced Training And Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 4523 Gravois Village Plaza, High Ridge, MO 63049 Phone: 636-264-0701 |
Amy Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Dillon Plaza Dr, High Ridge, MO 63049 Phone: 636-677-3100 |
Abraham Park, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Dillon Plaza Dr, High Ridge, MO 63049 Phone: 636-677-3100 |
Bethany Stengel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Dillon Plaza Dr, High Ridge, MO 63049 Phone: 636-677-3100 |
Teresa Jane Phillips, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Dillon Plaza Dr, High Ridge, MO 63049 Phone: 636-677-3100 |
Cynthia Loveless, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Dillon Plaza Dr, High Ridge, MO 63049 Phone: 636-677-3100 |