NPIMap

Organization Active NPI

Leclair Therapy, Inc.

  • Physical Therapist
  • Essex JCT, VT
National Provider Identifier
1821002189
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400002668 Issued in VT
Legal business name
LECLAIR THERAPY, INC.
Practice address
1 Market PL
Suites #27 & 33
Essex JCT, VT 05452-2942
Phone
(802) 878-9572
NPI assigned
Jul 29, 2006
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Mrs. Estelle L Leclair, PTNPI 1922012285
Title
Owner
Phone
(802) 878-9572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0400002668 VT Primary

Addresses

Primary practice location

1 Market PL
Suites #27 & 33
Essex JCT, VT 05452-2942

Mailing address

120 Towers Rd
Essex Junction, VT 05452-2620
Phone (802) 878-9255

Other identifiers 1

IdentifierTypeStateIssuer
1011104MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041215000866 VT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688631211 Receives reassigned benefits from 20 practitioners
Practice locations: Milton, VT; South Burlington, VT; Essex Junction, VT

National Provider Directory

National Provider Directory

Locations

1 Towne Market Pl
Essex Junction, VT 05452
Phone (802) 655-1737

1 Towne Market Pl
Unit 33
Essex Junction, VT 05452
Phone (802) 878-9572

21 Carmichael St
Essex Junction, VT 05452
Phone (802) 878-9572

787 Ethan Allen Hwy
Ste 104
Milton, VT 05468
Phone (802) 878-9572

1879 Williston Rd
South Burlington, VT 05403
Phone (802) 878-9572

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1821002189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TOWERS RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522620",
            "telephone_number": "802-878-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARKET PL",
            "address_2": "SUITES #27 & 33",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054522942",
            "telephone_number": "802-878-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECLAIR THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "LECLAIR",
        "authorized_official_first_name": "ESTELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-878-9572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011104",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex JCT, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.