LEGACY HEALTHCARE (NPI# 1497051049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497051049 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE |
| Practice Address |
200 Trade St Tarboro NC 27886-5055 |
| Practice Telephone | 2528238100 |
| Practice Fax Number | 2528237800 |
| Mailing Telephone | 2528238100 |
| Mailing Fax Number | 2528237800 |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2011-01-30 |
| Authorized Official Name | MRS. AMY COX MARLOW (PTA) |
| Authorized Official Telephone | 2528137755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
3284 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688266 | Legacy Healthcare | Assisted Living Facility | 300 Billingrath Turn Ln, Cary, NC 27519-2838 | 2017-02-12 |
| 1578769634 | Legacy Healthcare | Skilled Nursing Facility | 9601 Gallop Ln, Bahama, NC 27503-9633 | 2007-06-26 |
| 1912496985 | Legacy Healthcare | Nurse Practitioner | 1918 Santa Anna Dr, Arlington, TX 76001-5611 | 2018-05-05 |
| 1184179004 | Legacy Healthcare | Occupational Therapist | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2016-08-20 |
| 1568863892 | Legacy Healthcare | Assisted Living Facility | 363 Jungermann Rd, 261, Saint Peters, MO 63376-5371 | 2014-09-05 |
| 1376962621 | Legacy Healthcare | Residential Treatment Facility, Physical Disabilities | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2014-04-15 |
| 1629407036 | Legacy Healthcare | Skilled Nursing Facility | 106 Mount Vista Rd, Denton, NC 27239-8793 | 2013-11-06 |
| 1104113026 | Legacy Healthcare | Assisted Living Facility | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2011-06-29 |
| 1245543347 | Legacy Healthcare | Skilled Nursing Facility | 725 S Pine St, Sebring, FL 33870-3654 | 2010-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY HEALTHCARE (SWITZERLAND) SA | Route De La Corniche 3 B, Epalinges, VD 1066, CHE |
| Colorado Business Entities | Legacy Healthcare Consulting LLC | N74w23774 Overland Ct, Sussex, WI 80831 |
| New York State Corporations | LEGACY HEALTHCARE MANAGEMENT GROUP, LLC | 6 Chelsea Place, Clifton Park, Ny 12065 |
| 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 |
| 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 |
| Oklahoma Business Registrations | LEGACY HEALTHCARE, LLC | 1723 S. Morgan Rd, Oklahoma City, OK 73128 |
| Street Address |
200 TRADE ST |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710932355 | Watermark Albemarle, LLC | Skilled Nursing Facility | 200 Trade St, Tarboro, NC 27886-5055 | 2006-05-23 |
| 1003462144 | James Montgomery | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2019-08-14 |
| 1801374301 | Stephanie Slayton | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2018-08-06 |
| 1396273934 | Joy Rogers Evans | Physical Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2017-05-26 |
| 1114455052 | Wahab Olayinka Animashaun | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2017-05-23 |
| 1942757794 | Sarah Meerholz | Physical Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2016-09-08 |
| 1932587029 | Watermark Albemarle, LLC | Skilled Nursing Facility | 200 Trade St, Tarboro, NC 27886-5055 | 2015-05-11 |
| 1417334749 | Lisa R Weathersby | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2015-05-06 |
| 1023409133 | Linda Bowen | Occupational Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2015-02-10 |
| 1659762177 | Joyce Spivey | Occupational Therapy Assistant | 200 Trade St, Tarboro, NC 27886-5055 | 2015-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
| 1750988861 | Homefront Physical Therapy, LLC | Clinic/Center | 100 Fullard Dr, Sneads Ferry, NC 28460-9530 | 2020-10-02 |
| 1861009144 | Radiance Physical Therapy LLC | Clinic/Center | 9 Richmond Ct, Durham, NC 27713-8376 | 2020-09-30 |
| 1386250124 | Nicol Chiropractic Center | Clinic/Center | 7011 Fayetteville Rd Ste 106b, Durham, NC 27713-7745 | 2020-09-17 |
| 1295349231 | All Natural Female LLC | Clinic/Center | 10314 Kirkmont Dr, Charlotte, NC 28269-6219 | 2020-09-08 |
| 1538773064 | Congruency Therapy & Wellness LLC | Clinic/Center | 5045 Strawberry Hill Dr Apt D, Charlotte, NC 28211-4535 | 2020-09-02 |
| 1093329617 | Begin With Breath, LLC | Clinic/Center | 37 Hampden Rd, Asheville, NC 28805-2421 | 2020-09-01 |
| 1225641020 | Flo Physical Therapy & Performance LLC | Clinic/Center | 13959 Tom Short Rd, Marvin, NC 28173-5300 | 2020-08-31 |
| 1689286122 | 2662 Pursuits LLC | Clinic/Center | 279 Paragon Pkwy, Clyde, NC 28721-8509 | 2020-08-17 |
| 1255958930 | Rise Physical Therapy LLC | Clinic/Center | 3710 Exchange Glenwood Pl Apt 346, Raleigh, NC 27612-4853 | 2020-06-29 |
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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.