Modified Independence Evaluations Inc
NPI 1356037980 · Occupational Therapist · Orange Park, FL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modified Independence Evaluations Inc is a Occupational Therapist organization in Orange Park, FL (NPI 1356037980).
Provider details
- NPI number
- 1356037980
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kristopher Wilson, Authorized Official(904) 710-8571
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-17
- Last updated
- 2023-04-17
- Certified
- 2023-04-16
Frequently asked questions
- What is Modified Independence Evaluations Inc's NPI number?
- Modified Independence Evaluations Inc's National Provider Identifier (NPI) is 1356037980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modified Independence Evaluations Inc?
- Modified Independence Evaluations Inc is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Modified Independence Evaluations Inc located?
- Modified Independence Evaluations Inc's practice location on file with NPPES is 1280 Harbour Town Dr, Orange Park, FL 32065-2562.
- What is Modified Independence Evaluations Inc's phone number?
- The practice phone number listed in the NPPES registry for Modified Independence Evaluations Inc is (904) 710-8571.
- Does Modified Independence Evaluations Inc accept Medicare?
- Modified Independence Evaluations Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modified Independence Evaluations Inc?
- The authorized official listed on Modified Independence Evaluations Inc's NPPES record is Kristopher Wilson, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modified Independence Evaluations Inc's NPI active?
- Yes — Modified Independence Evaluations Inc's NPI (1356037980) is active in the NPPES registry as of the last update on 2023-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.