Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jesse Russell Modica, PT, DPT, MS

Individual provider Orthopedic Physical Therapist · NPI 1700043221

Dr. Jesse Russell Modica, PT, DPT, MS is an Orthopedic Physical Therapist in San Rafael, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

165 N Redwood Dr Ste 120
San Rafael, CA 94903-1969
Phone: (415) 499-0278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 33875 (CA)

Record details

NPI number1700043221
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MS
Sole proprietorNo
NPI enumeratedMay 21, 2008
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020

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