LEGACY HEALTHCARE SERVICES, INC (NPI# 1316362650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316362650 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC |
| Other Organization Name | LEGACY REHABILITATION SERVICES, INC. |
| Practice Address |
5400 Laurel Lake Dr Waco TX 76710-2835 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 2543996633 |
| Practice Fax Number | 2543996647 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | MR. WILLIAM G WILSON JR. (CHIEF FINANCIAL OFFICER) |
| 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 |
| Other Name | Type Code |
|---|---|
| Legacy Healthcare at Waco | Doing Business As Name - Organization |
| Legacy Rehabilitation Services, Inc. | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1578960902 | Legacy Healthcare Services, Inc | Occupational Therapy Assistant | 322 Nuway Cir, Lenoir, NC 28645-3656 | 2014-12-01 |
| 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 |
5400 LAUREL LAKE DR |
| City | WACO |
| State | TX |
| Zip Code | 76710-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699312850 | Lorraine Kirkpatrick | Occupational Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2019-12-06 |
| 1528545811 | Alexandria Alexander | Physical Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2018-07-19 |
| 1881188423 | Andi Katelyn Otto | Occupational Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2018-06-18 |
| 1508371469 | Martha Jane Gilbertson | Occupational Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2017-12-13 |
| 1902340433 | Disha Anita Rodriguez | Physical Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2016-12-19 |
| 1366810533 | Kaci Hardin | Occupational Therapy Assistant | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2015-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| 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 |
|---|---|---|---|---|
| 1831797083 | Chase Stuart Richins | Physical Therapist | 4800 Memorial Dr Bldg 11, Waco, TX 76711-1329 | 2020-10-10 |
| 1477187631 | Move Better Physical Therapy, LLC | Physical Therapist | 1764 Patrick Rd, Waco, TX 76708-7613 | 2020-02-26 |
| 1316592678 | Balance Aquatic and Physical Therapy LLC | Physical Therapist | 6898 Woodway Dr, Waco, TX 76712-6158 | 2019-08-05 |
| 1114580529 | Lildutchess LLC | Physical Therapist | 1201 Hewitt Dr Ste 107, Waco, TX 76712-8834 | 2019-04-22 |
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1992270300 | John S Weldon | Physical Therapist | 2098 N Valley Mills Dr Ste B, Waco, TX 76710-2585 | 2018-10-11 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1891203170 | Matthew Juber | Physical Therapist | 2430 Marketplace Dr, Waco, TX 76711-2453 | 2018-01-20 |
| 1962930784 | Rebecca Leann Wittner | Physical Therapist | 1200 Richland Dr Ste G, Waco, TX 76710-8001 | 2017-05-24 |
| 1033567508 | Rachel Follingstad Neathery | Physical Therapist | 5801 Crosslake Pkwy, Waco, TX 76712-6948 | 2016-05-25 |
| Find all providers in WACO | ||||
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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.