LEGACY HEALTH CARE SERVICES (NPI# 1427435163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427435163 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTH CARE SERVICES |
| Practice Address |
45 E Lockwood Ave Webster Groves MO 63119-3050 |
| Mailing Address |
5809 Itaska St Saint Louis MO 63109-3117 |
| Practice Telephone | 3142002664 |
| Mailing Telephone | 3149718626 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | MISS CONNIE SCOTT JUSTICE (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 3149718626 |
| Authorized Official Credential | P.T.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2006006973 | MO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821381252 | Legacy Health Care Services | Skilled Nursing Facility | 779 Woody Dr, Graham, NC 27253-3812 | 2011-05-18 |
| Street Address |
45 E LOCKWOOD AVE |
| City | WEBSTER GROVES |
| State | MO |
| Zip Code | 63119-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629012760 | Kristin Wallock | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2006-06-16 |
| 1245720192 | Welltower Opco Group LLC | Assisted Living Facility | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-05-16 |
| 1962909879 | Alicia Helene Stone | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-04-07 |
| 1104361229 | Stephanie Battelle | Physical Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2016-12-28 |
| 1730504671 | Trisha L Dorries | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2014-03-01 |
| 1316369614 | Sarah Farnell | Occupational Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2014-01-06 |
| 1992052740 | Kathy Ann Plurad | Physical Therapist | 45 E Lockwood Ave, Webster Groves, MO 63119-3019 | 2012-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407389349 | Mindful Pilates and Wellness, LLC | Clinic/Center | 407 Summit Ave, Webster Groves, MO 63119-2638 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563479 | Lydia Kay Blondin | Clinic/Center | 24158 Tanglewood Rd, Saint Robert, MO 65584-3815 | 2020-09-16 |
| 1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
| 1144839887 | Atr Justin LLC | Clinic/Center | 15882 Clayton Rd, Ellisville, MO 63011-2212 | 2020-07-29 |
| 1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1477059517 | Occupational Health Centers of Kansas Pa | Clinic/Center | 19000 E Eastland Center Ct Ste 200, Independence, MO 64055-7023 | 2018-04-05 |
| 1326541475 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1 Pratt Pl, Florissant, MO 63031-6557 | 2018-03-15 |
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1629590955 | Judice Consulting LLC | Clinic/Center | 700 Shallowcreek Vw, Ballwin, MO 63021-6618 | 2017-07-07 |
| Find all providers with the same taxonomy | ||||
| City | WEBSTER GROVES |
| Zip Code | 63119 |
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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.