JRL PT Consulting

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JRL PT CONSULTING

Practice address

42 Marboy Dr
Plantsville, CT 06479-1518

Phone

(860) 690-6421

NPI assigned

Sep 12, 2021

Last updated

Oct 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tricia Leduc, PT, DPTNPI 1225624992

Title

Physical Therapist

Phone

(860) 690-6421

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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.

• Tricia Anne Leduc, PT, DPT

  • Physical Therapist
  • Plantsville, CT
  • NPI 1225624992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1962171934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MARBOY DR",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791518",
            "telephone_number": "860-690-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MARBOY DR",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791518",
            "telephone_number": "860-690-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRL PT CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-10-10",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "LEDUC",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-690-6421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225624992",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Jesse Herron, CNM
• Srey Im-Ly, PMHNP-BC
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• Ira Spar, MDPC
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• Matthew Kapsinow, LADC, LPC
• Caroline Kate Keefe, OTD, OTR-L
• Sarah Alysia Khan, LPC-A
• Youssef Khawaja, MD

• Physical Therapist in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.