LEGACY HEALTHCARE SERVICES, INC (NPI# 1396160636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396160636 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC |
| Other Organization Name | LEGACY HEALTHCARE AT SOUTHERN PINES |
| Practice Address |
101 Brucewood Rd Southern Pines NC 28387-5159 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 9192462091 |
| Practice Fax Number | 9192462098 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | MS. SANDRA M HOSKINS (PRESIDENT) |
| Authorized Official Telephone | 9194245081 |
| 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 Southern Pines | 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 |
| 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 |
101 BRUCEWOOD RD |
| City | SOUTHERN PINES |
| State | NC |
| Zip Code | 28387-5159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902002306 | Cynthia Denise Mccall | Occupational Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2007-06-22 |
| 1861045072 | Vance Alexander Pearson | Physical Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2019-07-17 |
| 1962977090 | Tamara Korpak | Occupational Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2018-10-04 |
| 1497265839 | Tanisha Shanelle Ware | Physical Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2017-10-11 |
| 1790239044 | Cheryl Lohman | Occupational Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2016-08-03 |
| 1659824720 | Brittley Monroe | Speech-Language Pathologist | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2016-07-25 |
| 1518310093 | Tannah Mabe Moneymaker | Speech-Language Pathologist | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2016-07-19 |
| 1346699683 | Natalie Walker | Physical Therapy Assistant | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2016-06-07 |
| 1184087868 | Elizabeth Merrill | Occupational Therapist | 101 Brucewood Rd, Southern Pines, NC 28387-5159 | 2016-03-31 |
| 1326354085 | Amanda Wiggins | Physical Therapist | 101 Brucewood Rd, Southern Pines, NC 28387 | 2010-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972028 | Wright and Associates X Dds Pa | Dentist | 10677 Nc Hwy 15-501, Southern Pines, NC 28387 | 2018-08-17 |
| 1821507294 | Brooke Ashley Thomas | Physical Therapist | 275 Pinehurst Ave Suite B, Southern Pines, NC 28387 | 2017-09-28 |
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1164860417 | Monarch | Community/Behavioral Health | 1662 Richards St, Southern Pines, NC 28387 | 2013-06-10 |
| 1619313202 | Nicole Jacobs | Psychiatry & Neurology | 195 West Illinois Avenue, Attn: April Smith, Southern Pines, NC 28387 | 2013-05-22 |
| 1932458395 | Heather N Dunning | Social Worker | 230 Murray Hill Rd, Southern Pines, NC 28387 | 2012-08-31 |
| 1487948451 | Hugh Perry Gayman Jr. | Physical Therapist | 103 Gossman Dr, Southern Pines, NC 28387 | 2011-06-07 |
| 1083919245 | John Adam Petty | Chiropractor | 1295 Old Us 1, Suite F, Southern Pines, NC 28387 | 2011-01-20 |
| 1962704775 | Specialty Pharmacy-southern Pines LLC | Pharmacy | 735 S. Bennett St., Southern Pines, NC 28387 | 2010-11-30 |
| 1922317080 | At Home Senior Services, Inc. | Home Health | 340 Commerce Avenue, Suite 14-a Yadkin Plaza, Southern Pines, NC 28387 | 2010-10-06 |
| Find all providers in zip 28387 | ||||
| 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 |
|---|---|---|---|---|
| 1386274496 | Mikayla K Paluzzi-tate | Physical Therapist | 490 Central Dr, Southern Pines, NC 28387-2810 | 2020-01-17 |
| 1821507294 | Brooke Ashley Thomas | Physical Therapist | 275 Pinehurst Ave Suite B, Southern Pines, NC 28387 | 2017-09-28 |
| 1780075671 | Jessica Tippit | Physical Therapist | 205 Se Service Rd, Southern Pines, NC 28387-5057 | 2015-02-12 |
| 1992100861 | Hayley Todd | Physical Therapist | 275 Pinehurst Ave, Southern Pines, NC 28387-7051 | 2014-11-04 |
| 1881944296 | Andrew Wagner Belden | Physical Therapist | 1035 N Leak St, Southern Pines, NC 28387-4142 | 2012-09-12 |
| 1487948451 | Hugh Perry Gayman Jr. | Physical Therapist | 103 Gossman Dr, Southern Pines, NC 28387 | 2011-06-07 |
| 1316256928 | Physical Therapy of Southern Pines, LLC | Physical Therapist | 230 N Bennett St, Southern Pines, NC 28387-4833 | 2010-09-29 |
| 1598952426 | Angie M. Foster | Physical Therapist | 100 E. Rhode Island Ave Ext, Southern Pines, NC 28387 | 2007-09-25 |
| 1801092317 | Irvin Dubose | Physical Therapist | 100 Gossman Rd, Southern Pines, NC 28387-2224 | 2007-06-22 |
| 1801092408 | Loherminia Figueroa Calma | Physical Therapist | 114 N Bennett St, Southern Pines, NC 28387-4809 | 2007-06-21 |
| Find all providers in SOUTHERN PINES | ||||
| City | SOUTHERN PINES |
| Zip Code | 28387 |
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.