Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annelise Modica, PTDPT

Individual provider Physical Therapist · NPI 1811539315

Annelise Modica, PTDPT is a Physical Therapist in Buffalo, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

3767 Delaware Ave
Buffalo, NY 14217-1040
Phone: (716) 874-6175
Fax: (716) 874-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044925 (NY)

Record details

NPI number1811539315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address3767 Delaware Ave, Buffalo, NY 14217-1040

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