LEGACY HEALTHCARE SERVICES, INC (NPI# 1497110365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497110365 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC |
| Practice Address |
2800 Kidd Rd Raleigh NC 27610-1842 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 9192319727 |
| Practice Fax Number | 9192319508 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | SANDRA M HOSKINS (CEO) |
| 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 |
| 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 |
| 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 |
2800 KIDD RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414538 | Reagan L Bell | Nurse Practitioner | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2005-08-22 |
| 1790322741 | Tiffany Ashburn | Physical Therapist | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2019-12-09 |
| 1467924480 | Tonee C Grant | Family Medicine | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2019-01-02 |
| 1770006546 | Whitney Epps | Physical Therapist | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2017-07-24 |
| 1932632791 | Jennifer Kratson | Occupational Therapy Assistant | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2017-04-09 |
| 1295184620 | Ashley Keesler | Physical Therapy Assistant | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2016-06-07 |
| 1912367095 | Vandana Patel | Occupational Therapist | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2016-03-02 |
| 1801268859 | Legacy Healthcare Services, Inc. | Physical Therapy Assistant | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2015-10-28 |
| 1518340157 | Christie Austin | Occupational Therapy Assistant | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2015-07-01 |
| 1740627835 | Wellcare Services, PC | Nurse Practitioner | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1073127718 | Abbey Cathlene Freville | Physical Therapist | 3230 Lynn Ridge Dr Apt 2d, Raleigh, NC 27613-8934 | 2020-09-01 |
| 1407406622 | Katherine Miller | Physical Therapist | 8600 Brittdale Ln Apt 202, Raleigh, NC 27617-6270 | 2019-09-19 |
| 1508414434 | Katherine Irene Virgin | Physical Therapist | 2031 Smallwood Dr, Raleigh, NC 27605-1334 | 2019-09-04 |
| 1285289256 | Carlie Bromer Huberman | Physical Therapist | 1105 W Cabarrus St, Raleigh, NC 27603-1905 | 2019-08-07 |
| 1316509508 | Movement First Physical Therapy, LLC | Physical Therapist | 11308 N Radner Way, Raleigh, NC 27613-5534 | 2019-07-08 |
| 1114582301 | Wakemed Specialists Group, LLC | Physical Therapist | 10010 Falls of Neuse Rd Ste 9, Raleigh, NC 27614-8495 | 2019-05-03 |
| 1750945796 | Benjamin Thomas Schmitt | Physical Therapist | 11201 Galleria Ave Ste 105, Raleigh, NC 27614-8137 | 2019-04-25 |
| 1790264455 | Cortney E Marotto | Physical Therapist | 1300 Corporation Pkwy Ste B, Raleigh, NC 27610-1362 | 2018-08-13 |
| 1801386305 | Samantha Roedel | Physical Therapist | 4351 Avent Ferry Rd Apt 2, Raleigh, NC 27606-4780 | 2018-05-10 |
| 1306341029 | Katherine Elizabeth Drumheller | Physical Therapist | 7024 Sandringham Dr, Raleigh, NC 27613-4053 | 2018-03-26 |
| Find all providers in RALEIGH | ||||
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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.