Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295566859 Individual Practitioner Female Practitioner

Brooke Alexis Modderman

Speech-Language Pathologist • Virginia Beach, VA

Professional Overview & Biography Verified Profile Summary

Brooke Modderman is a registered healthcare professional specializing in Speech-Language Pathologist in Virginia Beach, VA. Practice services are available at 4668 PEMBROKE BLVD STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4668 Pembroke Blvd Ste 115

Virginia Beach, VA 234556423

Telephone 7576488562
Fax 7576488562
Associated Practice Facility / Clinic
🏢 Ivyrehab Sept, Llc Facility NPI 1093194193

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
443 Specialists

Practicing in Virginia Beach, VA (4974 Statewide)

Telehealth Adoption Rate
0.5% 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: 2024-08-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2204001455

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1194496877

Physical Therapist, Doctor of Physical Therapy

Dr. Morgan Davis , PT, DPT

Physical Therapist

NPI 1205661733

Physical Therapist, Doctor of Physical Therapy

Olivia Simmons

Occupational Therapist

NPI 1356189435
Lauren Gordon , MS, CCC-SLP

Speech-Language Pathologist

NPI 1396237723

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Erica Price , MS CCC-SLP

Speech-Language Pathologist

NPI 1396250437

MSCCCSLP

Sarah Harsche , ORT, L

Occupational Therapist

NPI 1417497652

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2024

Registered at 4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 234556423 (Tel: 7576488562)

📍
Updated Business Mailing Address August 13, 2024

Registered at 4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 234556423 (Tel: 7576488562)

👤
Provider Name / Credentials Updated August 13, 2024

Recorded as BROOKE MODDERMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2024

Speech-Language Pathologist (License #2204001455 in VA)

🟢
Initial NPI Registration & Enumeration August 13, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Brooke Modderman. Be the first to share your experience!

Sign in to leave a review for Brooke Modderman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295566859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2024
Last Update: August 13, 2024
Sole Proprietor: No

Mailing Address

4668 Pembroke Blvd Ste 115

Virginia Beach, VA 234556423

Phone: 7576488562

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.