LEGACY HEALTHCARE SERVICES, INC (NPI# 1245550060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245550060 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC |
| Practice Address |
9642 Burke Lake Rd Burke VA 22015-3052 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 7035437920 |
| Practice Fax Number | 7035437924 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | MS. SANDRA HOSKINS (CEO) |
| Authorized Official Telephone | 9194245080 |
| 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 | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1255750030 | Legacy Healthcare Services, Inc | Occupational Therapist | 5901 Macarthur Blvd Nw, Washington, DC 20016-2541 | 2014-04-09 |
| 1962828053 | Legacy Healthcare Services, Inc | Occupational Therapist | 222 S 25th St, Terre Haute, IN 47803-1800 | 2014-03-13 |
| 1316362650 | Legacy Healthcare Services, Inc | Occupational Therapist | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2014-02-24 |
| 1215298005 | Legacy Healthcare Services, Inc | Occupational Therapist | 12826 Daylight Cir, Saint Louis, MO 63131 | 2012-06-07 |
| 1467655761 | Legacy Healthcare Services, Inc | Occupational Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2007-06-06 |
| 1497110365 | Legacy Healthcare Services, Inc | Occupational Therapist | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2015-12-21 |
| 1174997233 | Legacy Healthcare Services, Inc | Occupational Therapist | 3420 Wake Forest Rd, Durham, NC 27703-3522 | 2015-11-30 |
| 1598139669 | Legacy Healthcare Services, Inc | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-11-30 |
| 1336535988 | Legacy Healthcare Services, Inc | Occupational Therapist | 8451 Us Highway 301 S, Riverview, FL 33578-5441 | 2015-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | LEGACY HEALTHCARE SERVICES, INC. | 164 Wind Chime Court, Raleigh, NC 27615 |
| Iowa Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Rd., Raleigh, NC 27616 |
| Colorado Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Indiana Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Street Address |
9642 BURKE LAKE RD |
| City | BURKE |
| State | VA |
| Zip Code | 22015-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750415642 | Ribca Bissrat Mersha | Physical Therapist | 9642 Burke Lake Rd, Burke, VA 22015-3024 | 2007-03-15 |
| 1073909131 | Shelby Nester | Clinic/Center | 9642 Burke Lake Rd, Burke, VA 22015-3052 | 2015-04-15 |
| 1689098071 | Janice Downey Murray | Physical Therapist | 9642 Burke Lake Rd, Burke, VA 22015-3052 | 2014-02-06 |
| 1750514311 | Sherri W Shunfenthal | Speech-Language Pathologist | 9642 Burke Lake Rd, Burke, VA 22015-3052 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876182 | Fereshteh Khodaei Shahrokhi | Social Worker | Lyngate Ct, Suite 200, Burke, VA 22015 | 2020-03-12 |
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1407228463 | Burke Dental, Pllc | Dentist | 9006 Fern Park Dr., Suite A, Burke, VA 22015 | 2015-10-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| Find all providers in zip 22015 | ||||
| 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 |
|---|---|---|---|---|
| 1265917835 | Natalie Jeanne Gaboriault-whitcomb | Physical Therapist | 5219 Spalding Ct, Burke, VA 22015-1751 | 2018-09-30 |
| 1063928059 | Matthew Earl Flynn | Physical Therapist | 9710 Walthorne Ct, Burke, VA 22015-4044 | 2017-12-28 |
| 1801302013 | Meetal Patel | Physical Therapist | 6035 Burke Centre Pkwy Ste 300, Burke, VA 22015-3750 | 2017-12-26 |
| 1780131441 | Jennifer Leigh Uzmann | Physical Therapist | 9601 Waterline Dr, Burke, VA 22015-4460 | 2016-09-09 |
| 1881028926 | Monica Hale Danneman | Physical Therapist | 9409 Old Burke Lake Rd, Suite K, Burke, VA 22015-3127 | 2013-08-26 |
| 1457647836 | Stacey M Bottorff | Physical Therapist | 9409k Old Burke Lake Rd, Burke, VA 22015-3127 | 2011-06-23 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1750415642 | Ribca Bissrat Mersha | Physical Therapist | 9642 Burke Lake Rd, Burke, VA 22015-3024 | 2007-03-15 |
| 1134239569 | Sydney Sawyer | Physical Therapist | 9409 K Old Burke Lake Rd, Burke, VA 22015 | 2006-08-30 |
| 1215997184 | Michael P Blair | Physical Therapist | 6035 Burke Centre Pkwy, #300, Burke, VA 22015-3750 | 2006-03-24 |
| Find all providers in BURKE | ||||
Please comment or provide details below to improve the information on LEGACY HEALTHCARE SERVICES, INC.
| 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.