LEGACY HEALTHCARE SERVICES, INC. (NPI# 1528419751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528419751 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC. |
| Practice Address |
100 Washington Commons Dr Apt. 314 Evans GA 30809-3159 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 7064268136 |
| Practice Fax Number | 7064968936 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-02-26 |
| 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 | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151811 | Legacy Healthcare Services, Inc. | Occupational Therapist | 13716 New Hampshire Ave, Silver Spring, MD 20904-6215 | 2020-07-21 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1730636846 | Legacy Healthcare Services, Inc. | Occupational Therapist | 10665 W 13th St N, Wichita, KS 67212-5600 | 2016-09-07 |
| 1689074288 | Legacy Healthcare Services, Inc. | Occupational Therapist | 55 Piney Mountain Dr, Asheville, NC 28805-1297 | 2014-09-02 |
| 1457768335 | Legacy Healthcare Services, Inc. | Clinic/Center | 7900 Creedmoor Rd, Raleigh, NC 27613-4382 | 2014-07-12 |
| 1376953794 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2201 S Lemay Ave, Fort Collins, CO 80525-1900 | 2014-05-07 |
| 1922429422 | Legacy Healthcare Services, Inc. | Home Health | 1748 Kinsaul Willoughby Rd, Greenville, NC 27834-7157 | 2013-12-31 |
| 1780943381 | Legacy Healthcare Services, Inc. | Physical Therapist | 1180 Haywood Rd, Greenville, SC 29615-2286 | 2012-05-16 |
| 1689840266 | Legacy Healthcare Services, Inc. | Skilled Nursing Facility | 1517 Edna Ln, Longview, TX 75602-4915 | 2008-05-05 |
| 1518069913 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2800 S Dixon Rd, Kokomo, IN 46902-6403 | 2006-09-05 |
| 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 |
| Street Address |
100 WASHINGTON COMMONS DR APT. 314 |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122402 | Kristine Elizabeth Gaylor | Occupational Therapy Assistant | 100 Washington Commons Dr, Evans, GA 30809-3159 | 2019-03-10 |
| 1841704863 | Margaret Cooper | Physical Therapy Assistant | 100 Washington Commons Dr, Evans, GA 30809-3159 | 2017-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008880 | India Shae Hawk | Occupational Therapist | 616 Millstone Dr, Evans, GA 30809-5173 | 2020-09-16 |
| 1790293231 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 4446 Washington Rd Ste 8, Evans, GA 30809-6361 | 2018-01-18 |
| 1386187193 | Caactus Flowers Rock Stars LLC | Occupational Therapist | 4455 Washington Rd, Evans, GA 30809-6326 | 2016-11-28 |
| 1902260789 | Regina Frazier | Occupational Therapist | 818 Prairie Ln, Evans, GA 30809-4263 | 2016-04-07 |
| 1669847794 | Sharon Swift | Occupational Therapist | 1250 Hardy Pointe Dr, Evans, GA 30809-5281 | 2015-12-01 |
| 1124267646 | Lillian Nicole Brewer | Occupational Therapist | 4130 Fox Brush Dr, Evans, GA 30809-4856 | 2009-02-05 |
| 1699965954 | Christina Lynn Rocker Merchant | Occupational Therapist | 568 Blue Ridge Drive, Evans, GA 30809 | 2007-08-01 |
| 1740489871 | Maureen Mcdonnell | Occupational Therapist | 3512 Greenway Dr, Evans, GA 30809-4277 | 2007-07-18 |
| 1205998069 | Melissa W Fitzgerald | Occupational Therapist | 446 Northridge Cir, Evans, GA 30809-4542 | 2006-12-15 |
| 1295822187 | Nancy Lynn Clements-morgan | Occupational Therapist | 5086 Wells Dr, Evans, GA 30809-7036 | 2006-10-10 |
| Find all providers in EVANS | ||||
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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.