LEGACY THERAPY CENTER, INC. (NPI# 1275764870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275764870 |
| Entity Type | Organization |
| Organization Name | LEGACY THERAPY CENTER, INC. |
| Practice Address |
5633 S. Staples Street Suite 400 & 500 Corpus Christi TX 78466-1140 |
| Mailing Address |
P.o. Box 61140 Corpus Christi TX 78466-1140 |
| Practice Telephone | 3618551352 |
| Practice Fax Number | 3618551254 |
| Mailing Telephone | 3618551352 |
| Mailing Fax Number | 3618551254 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2011-01-14 |
| Authorized Official Name | MR. AMBROSE HERNANDEZ (CEO/OWNER) |
| Authorized Official Telephone | 3618550848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
TX | Ambulatory Health Care Facilities | |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Street Address |
5633 S. STAPLES STREET SUITE 400 & 500 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78466-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841332095 | Veronica Farias Garza | Occupational Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2007-02-13 |
| 1194051516 | Erica Lee Garcia | Speech-Language Pathologist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-10-19 |
| 1952534349 | Miroslaw R Krzycki | Physical Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-09-01 |
| 1639302029 | Magdalena Joanna Laszcz | Physical Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-09-01 |
| 1396974150 | Chesley Hilliary Adams | Physical Therapist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-07-14 |
| 1033347208 | Nicole Lavoie Owens | Speech-Language Pathologist | 5633 S. Staples Street, Suite 400 & 500, Corpus Christi, TX 78411-4646 | 2009-06-26 |
| 1124228317 | Legacy Home Health Agency, Inc | Hospice Care, Community Based | 5633 S. Staples Street, Suite 200, Corpus Christi, TX 78411-4646 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385391 | South Texas Sports Chiropractic | Chiropractor | 6635 S Staples St Apt 1815, Corpus Christi, TX 78413-5417 | 2020-11-01 |
| 1053911644 | Ramiro Meave Jr. | Case Manager/Care Coordinator | 6162 Misty Meadow Rd Apt 1102, Corpus Christi, TX 78414-2570 | 2020-10-31 |
| 1003416918 | Elizabeth R Kiolbassa | Pharmacist | 1821 Spid Dr, Corpus Christi, TX 78416-1398 | 2020-10-29 |
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1932709318 | Linda Marie Miller | Counselor | 7202 Mansions Dr Unit K3, Corpus Christi, TX 78414-3711 | 2020-10-27 |
| 1750988457 | Elisha Laird | Registered Nurse | 7114 Lindenwood Dr, Corpus Christi, TX 78414-6223 | 2020-10-06 |
| 1861099921 | Tyler Jason Winfrey | Registered Nurse | 7706 Sabo Dr, Corpus Christi, TX 78414-2785 | 2020-10-01 |
| 1063029775 | Cuong Cao | Pharmacist | 1301 Airline Rd, Corpus Christi, Corpus Christi, TX 78412 | 2020-09-26 |
| 1568079473 | Dean Salomon Garza | Nurse Practitioner | 4913 Valley Stream Dr, Corpus Christi, TX 78413-2443 | 2020-09-24 |
| 1982210472 | Juana Maria Perez | Specialist/Technologist | 5505 Burton Ln, Corpus Christi, TX 78411-4613 | 2020-09-20 |
| Find all providers in CORPUS CHRISTI | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1023544418 | Medcare Pediatric Rehab Center, Lp | Clinic/Center | 5095 Preston Ave, Pasadena, TX 77505-2053 | 2017-05-04 |
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| 1356793509 | Individual | Clinic/Center | 3500 Timberwood Cir Apt 2137, Arlington, TX 76015-3129 | 2016-07-11 |
| 1801242839 | Transitional Learning Center At Galveston | Clinic/Center | 4416 10th St, Lubbock, TX 79416-4800 | 2016-05-09 |
| 1225401805 | Milestones | Clinic/Center | 2704 S 26th St, Mcallen, TX 78503-7812 | 2015-11-04 |
| 1326421173 | Costa Therapy Institute, LLC | Clinic/Center | 1058 Palm Blvd, Brownsville, TX 78520-6168 | 2015-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78466 |
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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.