Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912124298 Individual Practitioner Female Practitioner

Mary J Modderman , OTR

Specialist • Lanham, MD

Professional Overview & Biography Verified Profile Summary

Mary Modderman, OTR is a registered healthcare professional specializing in Specialist in Lanham, MD. Practice services are available at HIGH ROAD LOWER SCHOOL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

High Road Lower School
9701 Philadelphia Ct.

Lanham, MD 20706

Telephone 3015678494

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lanham, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 36.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Lanham, MD (1034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD 01236

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 12, 2025

Registered at HIGH ROAD LOWER SCHOOL, 9701 PHILADELPHIA CT., LANHAM, MD 20706 (Tel: 3015678494)

👤
Provider Name / Credentials Updated March 12, 2025

Recorded as MARY MODDERMAN, OTR

NPI Profile Active May 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2009

Registered at 14201 SCHOOL LN, UPPER MARLBORO, MD 207722866 (Tel: 3015678494)

📍
Updated Business Mailing Address May 11, 2009

Registered at 4107 HAMILTON ST, HYATTSVILLE, MD 207811804 (Tel: 3012774911)

👤
Provider Name / Credentials Updated May 11, 2009

Recorded as MARYJOAN MODDERMAN, OTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2009

Specialist (License #01236 in MD)

🟢
Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912124298
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: March 12, 2025
Sole Proprietor: No

Mailing Address

4107 Hamilton St

Hyattsville, MD 207811804

Phone: 3012774911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.