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

Mora Modisette, PT

Individual provider Physical Therapist · NPI 1629549480

Mora Modisette, PT is a Physical Therapist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1079 Commonwealth Ave
Boston, MA 02215-1016
Phone: (617) 536-1161
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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 021599 (MA)

Record details

NPI number1629549480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 5, 2018
Last updated in NPPESDecember 5, 2018

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