Active NPI
Richard P. Leclaire, P.T.
- Physical Therapist
- Seekonk, MA
National Provider Identifier
1336143197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8100
- Practice address
- 350 Fall River Ave
Seekonk, MA 02771-5506 - Phone
- (508) 336-3121
- Fax
- (508) 336-3120
- NPI assigned
- Jun 9, 2005
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8100 | MA | Primary |
| Physical Therapist | 225100000X | PT00460 | RI |
Addresses
Primary practice location
350 Fall River Ave
Seekonk, MA 02771-5506
Mailing address
350 Fall River Ave
Seekonk, MA 02771-5506
Phone (508) 336-3121
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43142951 | Other | MA | HEALTHCARE VALUE MGMT |
| 608183 | Other | MA | TUFTS |
| 2520-9 | Other | RI | BLUE CROSS BLUE SHIELD RI |
| 605708 | Other | MA | HARVARD PILGRIM |
| Y66685 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| 402383 | Other | RI | BLUECHIP |
| 64-00067 | Other | RI | UNITED HEALTH CARE |
| RL35724 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8100 | MA | MD | Physical Therapist |
| PT00460 | RI | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Seekonk, MA
- NPI 1760601942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336143197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FALL RIVER AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027715506",
"telephone_number": "508-336-3121",
"fax_number": "508-336-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FALL RIVER AVE",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027715506",
"telephone_number": "508-336-3121",
"fax_number": "508-336-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLAIRE",
"first_name": "RICHARD",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8100",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT00460",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MGMT",
"identifier": "43142951",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "608183",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD RI",
"identifier": "2520-9",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "605708",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "Y66685",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "402383",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "64-00067",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RL35724",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seekonk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.