LEGACY (NPI# 1053621607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053621607 |
| Entity Type | Organization |
| Organization Name | LEGACY |
| Practice Address |
120 South Hi Lusi Ave Mount Prospect IL 60056 |
| Practice Telephone | 8476707214 |
| Mailing Telephone | 8476707214 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | MR. PARVIZ AYREMPOUR (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 8476707214 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
160.002590 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1992115406 | Legacy | Nursing Facility/Intermediate Care Facility | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2014-05-06 |
| 1831539824 | Legacy | Skilled Nursing Facility | 2275 Ruin Creek Rd, Henderson, NC 27537-8732 | 2013-07-05 |
| 1730334640 | Legacy | Skilled Nursing Facility | 4201 Fm 105, Orange, TX 77630-1272 | 2008-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY | 1415 California Street, Houston, TX 77006-2602 |
| Colorado Business Entities | LEGACY & INTEGRITY LIMITED | 7879 Elmwood Ln, Denver, CO 80221 |
| New York State Corporations | LEGACY & LEGEND HOLDINGS, LLC | 8080 Barnum Road, Cassadaga, Ny 14718 |
| Virginia Business Entities | LEGACY & TRUST LEGAL COUNSEL PLLC | 7506 Digby Gr, Alexandria, Virginia 22315 |
| Washington State Corporations | LEGACY 04 L.L.C. | 1111 Main St, Vancouver, WA 98666 |
| New York State Corporations | LEGACY 0910 INC | 46 West 65th Street, Suite 1a, New York, Ny 10023 |
| New York State Corporations | LEGACY 1 CONDOMINIUM CORP. | 132-52 91st Avenue Mi, Flushing, Ny 11355 |
| Colorado Business Entities | LEGACY 1 DOING BUSINESS AS S.R.S, INC | 4113 Jebel St, Denver, CO 80249 |
| New York State Corporations | LEGACY 1 LIMO SERVICE & CAR INC. | 308 E5th Street, Brooklyn, New York 11218 |
| Colorado Business Entities | Legacy 1 LLC | 27090 Highway 72, Golden, CO 80403-8329 |
| Street Address |
120 SOUTH HI LUSI AVE |
| City | MOUNT PROSPECT |
| State | IL |
| Zip Code | 60056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649829 | Blocki and Bashford Dental, LLC | Dentist | 200 E. Evergreen, Suite 129, Mt. Prospect, IL 60056 | 2020-01-30 |
| 1740745934 | Luminate Therapy Group of Illinois, LLC | Behavioral Analyst | 580 Slawin Court, Mt. Prospect, IL 60056 | 2019-02-01 |
| 1952884009 | Erin Kathleen Neal | Social Worker | 1550 Bishop Court, Mount Prospect, IL 60056 | 2018-09-13 |
| 1215431028 | Teandra Gelemer Delancy | Social Worker | Kenneth Young Center, 1585 West Dempster St, Mt. Prospect, IL 60056 | 2018-03-19 |
| 1578071650 | Azk Transportation Inc | Non-emergency Medical Transport (VAN) | 415 E Prospect Ave, 3c, Mount Prospect, IL 60056 | 2018-01-11 |
| 1275059859 | Sara Tyburski | Psychologist | 701 W Gregory, Mount Prospect, IL 60056 | 2017-08-16 |
| 1487197257 | Roma R D'silva | General Practice | 608 South Noah Terrace, Mount Prospect, IL 60056 | 2016-11-29 |
| 1568918159 | Georgeshia Norwood | Social Worker | 1820 West Dempster, Mount Prospect, IL 60056 | 2016-09-01 |
| 1568919025 | Scott G Smoron Dds Msd Ltd | Dentist | 421 W. Prospect Ave., Mount Prospect, IL 60056 | 2016-09-01 |
| 1568918365 | Kathleen Huttner | Counselor | 1820 W. Dempser, Kenneth Young Center, Mount Prospect, IL 60056 | 2016-08-31 |
| Find all providers in zip 60056 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417470956 | Rci (wrs) Inc. | Clinic/Center | 1210 E Central Rd Unit A-105, Mount Prospect, IL 60056-2681 | 2017-07-17 |
| 1033509914 | Dynapeak Fitness and Physical Therapy, PC | Clinic/Center | 116 S Hi Lusi Ave, Mount Prospect, IL 60056-3025 | 2015-01-29 |
| 1487124988 | Smile Pain & Rehab Inc | Clinic/Center | 1052 S Elmhurst Rd, Mount Prospect, IL 60056-4240 | 2018-11-28 |
| 1154663813 | Emery Physical Therapy LLC | Clinic/Center | 2380 S Elmhurst Rd, Mount Prospect, IL 60056-5805 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PROSPECT |
| Zip Code | 60056 |
Please comment or provide details below to improve the information on LEGACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.