LEGACY HEALTHCARE SERVICES INC. (NPI# 1407487366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407487366 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES INC. |
| Practice Address |
1481 Marbach Dr Washington MO 63090-4636 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 8552393467 |
| Mailing Telephone | 9194245080 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | WILLIAM G WILSON JR. (CFO) |
| 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 |
|---|---|---|---|---|
| 1164620084 | Legacy Healthcare Services Inc. | Occupational Therapist | 7100 W 13th Ave, Suite 213, Lakewood, CO 80214-4782 | 2007-07-03 |
| 1710504741 | Legacy Healthcare Services Inc. | Speech-Language Pathologist | 487 Highway 378, Lexington, SC 29072-9177 | 2020-06-25 |
| 1871125328 | Legacy Healthcare Services Inc. | Speech-Language Pathologist | 10301 Golf Course Rd Nw, Albuquerque, NM 87114-5380 | 2020-02-12 |
| 1871132357 | Legacy Healthcare Services Inc. | Occupational Therapist | 3405 El Salido Pkwy, Cedar Park, TX 78613-5640 | 2019-12-31 |
| 1376008185 | Legacy Healthcare Services Inc. | Occupational Therapist | 4560 W Alexis Rd, Toledo, OH 43623-1082 | 2019-02-06 |
| 1710459276 | Legacy Healthcare Services Inc. | Nursing Care | 2555 Madison Ave, Baltimore, MD 21217-4041 | 2018-12-21 |
| 1467945709 | Legacy Healthcare Services Inc. | Occupational Therapist | 2041 Hubbard Rd, Madison, OH 44057-2565 | 2018-06-12 |
| 1073964417 | Legacy Healthcare Services Inc. | Skilled Nursing Facility | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2016-06-27 |
| 1912307877 | Legacy Healthcare Services Inc. | Occupational Therapist | 2770 S Adams St, Bloomington, IN 47403-3242 | 2014-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | LEGACY HEALTHCARE SERVICES INC. | 176 Mine Lake Court Ste. 100, Raleigh, NC 27615-6417 |
| Virginia Business Entities | Legacy HealthCare Services Inc. | 3001 Spring Forest Rd, Raleigh, North Carolina 27616 |
| Street Address |
1481 MARBACH DR |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-4636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| 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 |
|---|---|---|---|---|
| 1063029924 | Mathison Mcconville | Physical Therapist | 1441 U St Nw Apt 602, Washington, DC 20009-3528 | 2020-09-24 |
| 1437767498 | National Rehabilitation Hospital, Inc | Physical Therapist | 925 Half St Se, Washington, DC 20003-3658 | 2020-07-16 |
| 1679191878 | Morgan Panzer | Physical Therapist | 555 13th St Nw Ste C112, Washington, DC 20004-1141 | 2020-07-14 |
| 1386269736 | Emily Caroline Mcdaniel | Physical Therapist | 300 M St Se, Washington, DC 20003-3400 | 2020-06-11 |
| 1275179889 | Nicholas W Dietrich | Physical Therapist | 3101 Recreation Dr Ste 130, Washington, MO 63090-6107 | 2019-11-19 |
| 1356984983 | Brookland Wellness Group Pllc | Physical Therapist | 676 Kenneth St Ne, Washington, DC 20017-1420 | 2019-10-27 |
| 1598307209 | Dynamic Physiotherapy LLC | Physical Therapist | 1712 I St Nw Ste 505, Washington, DC 20006-3731 | 2019-10-14 |
| 1619528288 | Roman Glazewski | Physical Therapist | 7715 26 Mile Rd, Washington, MI 48094-2804 | 2019-09-25 |
| 1346894169 | Melinda Avery | Physical Therapist | 2516 Q St Nw Apt Q107, Washington, DC 20007-4378 | 2019-07-30 |
| 1548729056 | Rebecca Ann Adams | Physical Therapist | 757 Girard St Nw, Washington, DC 20001-3820 | 2019-03-14 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
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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.