MRS. MAUREEN LEE MODER (MS, PT) – Physical Therapist, NPI 1679541262

MRS. MAUREEN LEE MODER (MS, PT) is a healthcare provider. based in Village of palmetto bay, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, PT. They hold a License No. 0006317 (FL). The NPI Number for MRS. MAUREEN LEE MODER (MS, PT) is 1679541262

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MAUREEN LEE MODER (MS, PT)
NPI
1679541262
Phone
(305) 255-6869
Address
7900 SW 161ST ST
Enumeration Date
9 March 2006
Last Update Date
23 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055701666
Graduation Year
1989 (37 years ago)
PAC ID
4284957879
Group Practice PAC ID
0042651168
Professional Enrollment ID
I20150107001193
Address ID
FL331303008MI42XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MRS. MAUREEN LEE MODER (MS, PT)

  • 7900 SW 161ST ST

    VILLAGE OF PALMETTO BAY, FL 331573737

    Phone: (305) 255-6869

    Type: Mailing

  • 6341, Sunset Drive, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 331434842

    Phone: (305) 662-5924

    Fax: (305) 663-4442

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150107001193IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes81220$0
97140Therapy procedure using manual technique, each 15 minutes22321$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13214$0
View full utilization report →

Insurance plans in this area (ZIP 33157)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042651168View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the standard ID for MRS. MAUREEN LEE MODER (MS, PT) in the U.S.?
In the U.S., MRS. MAUREEN LEE MODER (MS, PT) is identified by NPI 1679541262.
Is MRS. MAUREEN LEE MODER (MS, PT)'s NPI status active today?
Active status means MRS. MAUREEN LEE MODER (MS, PT)'s NPI record is not deactivated in the public file.
How should patients interpret MRS. MAUREEN LEE MODER (MS, PT)'s specialty?
The extract shows Physical Therapist for MRS. MAUREEN LEE MODER (MS, PT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. MAUREEN LEE MODER (MS, PT)?
MRS. MAUREEN LEE MODER (MS, PT) is associated with Village Of Palmetto Bay, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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