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

Chinonso Modozie

Individual provider Physical Therapist · NPI 1114735149

Chinonso Modozie is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2024, 2 years ago. Practices with Evidence Physical Therapy, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024
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Practice location Address checks out

14501 Baltimore Ave
Laurel, MD 20707-4901
Phone: (301) 799-9466
Fax: (301) 799-9467
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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 215806 (MD)

Record details

NPI number1114735149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 22, 2024
Mailing address12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769-9183

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Evidence Physical Therapy, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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