Jaime Ann Leduc, PT
Individual provider Active NPI Physical Therapist · South Burlington, VT
NPI 1114046935 · NPPES record last updated Aug 30, 2016
Key facts
- NPI
- 1114046935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040-0003512 (VT)
- Practice address
- 3 Timber LN
South Burlington, VT 05403-7205 - Phone
- (802) 847-2391
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040-0003512 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Seasons Physical Therapy Consultants Inc | Physical Therapist | Current |
Accepting new patients |
| On Track, LLP | Physical Therapist | Past | Accepting new patients |
Locations
789 Pine St
Burlington, VT 05401
Phone (802) 264-1052
61 Huntington Rd
#1A
Richmond, VT 05477
Phone (802) 434-8495
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040-0003512 | VT | Yes |
Addresses
Primary practice location
3 Timber LN
South Burlington, VT 05403-7205
Mailing address
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-6996
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59223 | Other | VT | BLUE CROSS BLUE SHIELD |
| 5265603 | Other | VT | VMC |
| 4124859 | Other | VT | MVP |
Other names
- Jaime Leduc Kelly
Other providers in South Burlington, VT
- Jennifer Laurent
- Bob A. Lavalette
- Allison L Lawrey
- Mark Lazarovich
- Glory Ledbetter
- Hyunbin Lee
- Patrick Lemay
- Kathryn Leopold
- Francois D Letourneau
- Marcia Levine
All providers in South Burlington, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.