Estelle L Leclair, PT
Individual provider Active NPI Specialist · Essex JCT, VT
NPI 1922012285 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1922012285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0400002668 (VT)
- Practice address
- 1 Market PL
Suite #33
Essex JCT, VT 05452-2942 - Phone
- (808) 878-9572
- Fax
- (802) 878-9592
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leclair Therapy Inc
Practice addresses (Care Compare)
21 Carmichael St
Essex Junction, VT 05452-3100
Phone (802) 878-9572
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000882 | VT | Practitioner - Physical Therapist in Private Practice | 1850358482 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leclair Therapy, Inc. | Current |
Accepting new patients | |
| Paquette Therapy Corporation | Specialist | Past |
Accepting new patients |
Locations
21 Carmichael St
Essex Junction, VT 05452
Phone (802) 878-9572
1 Towne Market Pl
Unit 33
Essex Junction, VT 05452
Phone (802) 878-9572
1 Towne Market Pl
Unit 27
Essex Junction, VT 05452
Phone (802) 658-6092
1 Towne Market Pl
Essex Junction, VT 05452
Phone (802) 655-1737
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0400002668 | VT | Yes |
Addresses
Primary practice location
1 Market PL
Suite #33
Essex JCT, VT 05452-2942
Mailing address
120 Towers Rd
Essex JCT, VT 05452-2620
Phone (802) 878-9255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011104 | Medicaid | VT |
Other providers in Essex JCT, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.