LEGACY OUTPATIENT THERAPY SERVICES (NPI# 1053815654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053815654 |
| Entity Type | Organization |
| Organization Name | LEGACY OUTPATIENT THERAPY SERVICES |
| Practice Address |
11618 South St Unit 201 Artesia CA 90701 |
| Mailing Address |
11618 South St # 201 Artesia CA 90701-6618 |
| Practice Telephone | 5624670777 |
| Practice Fax Number | 5626833047 |
| Mailing Telephone | 5624670777 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | JILL RAIZA DELA CRUZ (CEO) |
| Authorized Official Telephone | 5624670777 |
| Authorized Official Credential | BSN, RN, MSN, FN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11618 South St # 201, Artesia, CA 907016618 | 5628840808 | |
| 11618 South St # 201, Artesia, CA 907016618 | 5624670777 | 5626833047 |
| Street Address |
11618 SOUTH ST UNIT 201 |
| City | ARTESIA |
| State | CA |
| Zip Code | 90701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881064939 | Pol Diel Leuterio | Occupational Therapist | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2015-10-01 |
| 1437626561 | Michael Tuazon Jarvina | Occupational Therapy Assistant | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2018-10-26 |
| 1922505635 | Pornpit Chawalitmetha | Occupational Therapist | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2018-04-09 |
| 1346782570 | Eric Murillo | Physical Therapy Assistant | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2016-11-04 |
| 1881145522 | Yan Chi Poon | Occupational Therapist | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2016-10-18 |
| 1841749207 | Avon Roque | Physical Therapy Assistant | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2016-09-27 |
| 1962957225 | Roseann Knight | Occupational Therapist | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2016-08-16 |
| 1386096782 | Miriam Aurelio | Physical Therapist | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2016-07-08 |
| 1508211343 | Raymond Mamuyac | Physical Therapist | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2016-04-29 |
| 1992159933 | Mitsuko Nobukuni | Occupational Therapist | 11618 South St Unit 201, Artesia, CA 90701-6618 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
| 1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
| 1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
| 1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
| 1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
| 1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
| 1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
| 1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
| Find all providers in zip 90701 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677212 | Painfree Physical Therapy Corp A Professional Corporation | Physical Therapist | 11618 South St Ste 214, Artesia, CA 90701-6618 | 2016-05-19 |
| 1891176327 | Jordan C Stearnes | Physical Therapist | 701 W Mahone Drive, Artesia, NM 88210-2080 | 2015-06-10 |
| 1235464843 | Rona Legaspi | Physical Therapist | 11700 South St Ste 200, Artesia, CA 90701-6619 | 2009-10-15 |
| 1518125004 | Michael Ray Eugenio | Physical Therapist | 18540 Belshire Ave, Artesia, CA 90701-5917 | 2008-05-30 |
| 1376751222 | Sallie Caton Hughes | Physical Therapist | 601 W Mahone Dr., Artesia Physical Therapy, LLC, Artesia, NM 88120 | 2007-05-21 |
| 1720122344 | Zosima N Soliven | Physical Therapist | 17616 Grayland Ave, Artesia, CA 90701-4025 | 2007-02-16 |
| 1720175011 | Christian Lama Medina Physical Therapy, Inc. | Physical Therapist | 18300 Gridley Rd Ste 301, Artesia, CA 90701-5401 | 2006-10-06 |
| 1821034893 | Sherry B Simsuangco | Physical Therapist | 18300 Gridley Rd, 303, Artesia, CA 90701-5440 | 2006-06-20 |
| 1265425052 | David G Morrison | Physical Therapist | 601 W Mahone Dr, Artesia, NM 88210-2080 | 2005-08-26 |
| 1972134310 | Ascend Physical Therapy and Wellness Services, Apc | Physical Therapist | 11700 South St Ste 200, Artesia, CA 90701-6619 | 2020-02-03 |
| Find all providers in ARTESIA | ||||
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| 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.