Individual provider Active NPI

Jason John Lebeau, P.T.

  • Physical Therapist
  • Middlebury, VT
National Provider Identifier
1780918649
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040-0003269 Issued in VT
Practice address
812 Exchange St
Middlebury, VT 05753-1555
Phone
(802) 388-3991
Fax
(802) 388-3992
NPI assigned
Sep 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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 040-0003269 VT Primary

Addresses

Primary practice location

812 Exchange St
Middlebury, VT 05753-1555

Mailing address

300 Main St
Vergennes, VT 05491-1035
Phone (802) 877-6991

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

LicenseStateTypeSpecialty
040-0003269VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Internists, Inc. Past Accepting new patients
Long Trail on the Falls Physical Therapy PC Physical Therapist PastSince Oct 13, 2020 Accepting new patients
All Seasons Physical Therapy Consultants Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1780918649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911035",
            "telephone_number": "802-877-6991",
            "fax_number": "802-877-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 EXCHANGE ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531555",
            "telephone_number": "802-388-3991",
            "fax_number": "802-388-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBEAU",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.