DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN MODDE, DPT

Active

BENJAMIN MODDE, DPT is a Physical Therapy Assistant healthcare provider located in HIGH RIDGE, Missouri. NPI 1013550821 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HIGH RIDGE, MO

Registration Details

NPI Number
1013550821
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2019 (6.801008085442 yrs)
Last Updated
Nov 13, 2025
License
2019030595 (MO)

Practice Information

Address
32 DILLON PLAZA DR
HIGH RIDGE, MO, 630492478
Browse MO providers · Browse ZIP 63049
Phone
6366773100
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HIGH RIDGE, MO

Name Credential NPI
AMY THOMAS 1043329626
CYNTHIA LOVELESS 1801905484
BETHANY STENGEL 1225133697
ABRAHAM PARK 1174204911
TERESA JANE PHILLIPS 1780566026
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.