Mary J. Modderman, OTR
NPI 1912124298ActiveIndividual· Occupational Therapist· Lanham, MD
Occupational Therapist (OTR) in Lanham, Maryland, licensed in MD, with an NPI issued in April 2007. Enrolled in Medicare as practitioner - occupational therapist in private practice and practitioner - occupational therapist in private practice.
Overview
| NPI | 1912124298 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Oct 1, 2026 |
| Certified by provider | Oct 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 01236 | MD |
| Specialist | 174400000X | 01236 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (DC); Practitioner - Occupational Therapist in Private Practice (MD) |
|---|
Education and affiliations
| Graduation year | 1969 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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All 39 occupational therapists in Lanham · All occupational therapists in Maryland