Sejal Modi
NPI 1669981643 · Physical Therapist · Edison, NJ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sejal Modi is a Physical Therapist provider in Edison, NJ (NPI 1669981643).
Provider details
- NPI number
- 1669981643
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 041718-1 (NY)
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 tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,927 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 836 | $24 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 419 | $36 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 416 | $22 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 256 | $10 |
Typical Medicare-allowed amounts for these services range $10–$36 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 460 Grand StNew York, NY 10002-4058Phone: (405) 778-0474
Registry dates
- Enumerated
- 2017-09-22
- Last updated
- 2018-03-17
Frequently asked questions
- What is Sejal Modi's NPI number?
- Sejal Modi's National Provider Identifier (NPI) is 1669981643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sejal Modi's specialty?
- Sejal Modi is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sejal Modi located?
- Sejal Modi's practice location on file with NPPES is 323 Horizon Dr, Edison, NJ 08817-5750.
- What is Sejal Modi's phone number?
- The practice phone number listed in the NPPES registry for Sejal Modi is (405) 778-0474.
- Does Sejal Modi accept Medicare?
- Sejal Modi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sejal Modi's NPI active?
- Yes — Sejal Modi's NPI (1669981643) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.