Individual provider Active NPI

Danika L Leblanc, DPT

  • Physical Therapist
  • Williston, VT
National Provider Identifier
1871074880
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0131535 Issued in VT
Practice address
600 Blair Park Rd Ste 300
Williston, VT 05495-7589
Phone
(802) 857-5030
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 040.0131535 VT Primary

Addresses

Primary practice location

600 Blair Park Rd Ste 300
Williston, VT 05495-7589

Mailing address

49 East Ter
South Burlington, VT 05403-6145
Phone (603) 723-0292

Other practice location 1

98 Starr Farm Rd
Burlington, VT 05408-1323
Phone (802) 658-6717

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

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1871074880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 EAST TER",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036145",
            "telephone_number": "603-723-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 300",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957589",
            "telephone_number": "802-857-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Starr Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054081323",
            "country_code": "US",
            "telephone_number": "802-658-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "DANIKA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0131535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.