Korbin A Leclair, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216177 Issued in VA

Practice address

108 Knotbreak Rd
Salem, VA 24153-5414

Phone

(540) 685-0168

Fax

(540) 685-0169

NPI assigned

Sep 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• University Physical Therapy Limited Partnership

  • Physical Therapist
  • Salem, VA
  • NPI 1477893295
  NPD
• University Physical Therapy Limited Partnership

  • Physical Therapist
  • Daleville, VA
  • NPI 1104330190
  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1780460865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607009",
            "telephone_number": "540-552-5100",
            "fax_number": "540-552-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KNOTBREAK RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535414",
            "telephone_number": "540-685-0168",
            "fax_number": "540-685-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLAIR",
        "first_name": "KORBIN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Layton
• Diep Le-Gula, DO
• Duc Minh Le, MD
• Cynthia Ann Lease, PHD
• Morgan Ross Lebrecht, PHARMD
• Elihu Jose Ledesma, MD
• Aliza Michale Lee, D.P.M.
• Bethany Grace Lee, LPC
• Danny Lee, RN
• Kangsoo Lee, MD

• Physical Therapist in Salem, VA
• Providers in Salem, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.