Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PRO PHYSICAL THERAPY & SPORTSCARE, INC.
Active
Organization
PRO PHYSICAL THERAPY & SPORTSCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD P LECLAIRE PT (OWNER AND PHYSICAL THERAPIST)
(508) 336-3121
Entity
Organization
Contact information
Practice address
350 FALL RIVER AVE, SEEKONK, MA 02771-5506
(508) 336-3121
(508) 336-3120
Mailing address
350 FALL RIVER AVE, SEEKONK, MA 02771-5506
(508) 336-3121
(508) 336-3120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8100
MA
225100000X
Physical Therapist
PT00460
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102722300
DEPT OF LABOR ACS
—
01
—
2520-9
BLUE CROSS BLUE SHIELD RI
RI
01
—
402383
BLUE CHIP
RI
01
—
43142951
HEALTHCARE VALUE MGMT
MA
01
—
605708
HARVARD PILGRIM
MA
01
—
608183
TUFTS
MA
01
—
64-00067
UNITED HEALTH
RI
05
—
PR35723
—
RI
01
—
Y61010
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
04/25/2007
Last updated
11/23/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up