Individual provider Active NPI

Nicholas A Leclair, PT

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1063929131
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
85 Franklin St
Boston, MA 02110-1502
Phone
(857) 284-4399
Fax
(857) 233-2672
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MA Primary

Addresses

Primary practice location

85 Franklin St
Boston, MA 02110-1502

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207000567 MA Practitioner - Physical Therapist in Private Practice 2668732991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25 Bridge St
Belchertown, MA 01007-8909
Phone (413) 323-1020

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 8, 2018 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 8, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

340 Great Rd
Acton, MA 01720
Phone (978) 287-6170

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

25 Bridge St
Belchertown, MA 01007
Phone (413) 323-1020

284 Trapelo Rd
Belmont, MA 02478
Phone (857) 626-3284

197 Massachusetts Ave
Boston, MA 02115
Phone (617) 399-7330

85 Franklin St
Boston, MA 02110
Phone (857) 284-4399

470 Washington St
Brighton, MA 02135
Phone (617) 562-0202

57 Bedford St
Ste 202
Lexington, MA 02420
Phone (781) 541-5111

4110 Mystic Valley Pkwy
Ste 12
Medford, MA 02155
Phone (781) 960-6030

188 Boston Rd
#B
North Billerica, MA 01862
Phone (978) 901-3513

6 Grove St
Norwell, MA 02061
Phone (781) 878-7455

240 Andover St
Unit F
Peabody, MA 01960
Phone (978) 817-3650

124 Broadway
Ste A
Saugus, MA 01906
Phone (781) 813-5002

1016 Paradise Rd
Swampscott, MA 01907
Phone (781) 309-9007

1092 Lexington St
Waltham, MA 02452
Phone (781) 906-8442

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1063929131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 FRANKLIN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101502",
            "telephone_number": "857-284-4399",
            "fax_number": "857-233-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.