IndividualActive
Mary Modderman, OTR
NPI 1912124298 · Specialist · Lanham, MD
Mary Modderman, OTR is a Specialist provider in Lanham, MD (NPI 1912124298).
Provider details
- NPI number
- 1912124298
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 01236 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
High Road Lower School
9701 Philadelphia Ct.
Lanham, MD 20706
Phone: (301) 567-8494
Approximate (ZIP-level) locationGet directions
Mailing address
4107 Hamilton St
Hyattsville, MD 20781-1804
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2025-03-12
- Certified
- 2025-03-10
Frequently asked questions
- What is Mary Modderman's NPI number?
- Mary Modderman's National Provider Identifier (NPI) is 1912124298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Modderman's specialty?
- Mary Modderman is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mary Modderman located?
- Mary Modderman's practice location on file with NPPES is High Road Lower School, Lanham, MD 20706.
- What is Mary Modderman's phone number?
- The practice phone number listed in the NPPES registry for Mary Modderman is (301) 567-8494.
- Is Mary Modderman's NPI active?
- Yes — Mary Modderman's NPI (1912124298) is active in the NPPES registry as of the last update on 2025-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.