| Ishankumar Modi, | |
|
599 Menlo Dr Ste 200, Rocklin, CA 95765-3725 | |
| (619) 203-8616 | |
| Not Available |
| Full Name | Ishankumar Modi |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 599 Menlo Dr Ste 200, Rocklin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710299342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05010684A (Indiana) | Secondary |
| 225100000X | Physical Therapist | PT39789 (California) | Primary |
| Provider Name | Unh Physical Therapy Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902530785 PECOS PAC ID: 7618351628 Enrollment ID: O20220824003565 |
| Mailing Address | Practice Location Address |
|---|---|
| Ishankumar Modi, 599 Menlo Dr Ste 200, Rocklin, CA 95765-3725 Ph: (619) 203-8616 | Ishankumar Modi, 599 Menlo Dr Ste 200, Rocklin, CA 95765-3725 Ph: (619) 203-8616 |
Jennifer Sunahara, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2217 Sunset Blvd Ste 711, Rocklin, CA 95765 Phone: 916-435-3500 | |
Nathan Appleby, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6526 Lonetree Blvd Ste 200, Rocklin, CA 95765 Phone: 916-772-2909 | |
Eric Alan Jacques, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2217 Sunset Blvd Ste 711, Rocklin, CA 95765 Phone: 916-435-3500 | |
Matthew Milton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Sunset Blvd, Ste 711, Rocklin, CA 95765 Phone: 916-435-3500 Fax: 916-435-3503 | |
Joshua Quan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5800 Lonetree Blvd Ste 101, Rocklin, CA 95765 Phone: 916-302-9601 | |
Taylah Nusser, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2217 Sunset Blvd Ste 711, Rocklin, CA 95765 Phone: 916-435-3500 | |
Sharon Villareal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1216 Starflower Ln, Rocklin, CA 95765 Phone: 980-251-5537 |