LEGACY HEALTHCARE SERVICES, INC. (NPI# 1730636846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730636846 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC. |
| Practice Address |
10665 W 13th St N Wichita KS 67212-5600 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 8552393467 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2019-12-02 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 W 151st St, Olathe, KS 660615348 | 8552393467 | |
| 6921 W 81st St, Overland Park, KS 662043913 | 9194245080 |
| 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 |
| 1528419751 | Legacy Healthcare Services, Inc. | Physical Therapist | 100 Washington Commons Dr, Apt. 314, Evans, GA 30809-3159 | 2016-06-29 |
| 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 |
10665 W 13TH ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| 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 |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1588282982 | Ashley Janae Sevart | Physical Therapist | 2300 N Tyler Rd, Wichita, KS 67205-8766 | 2020-07-12 |
| 1376168294 | Bayli Ann Palmer | Physical Therapist | 10333 E 21st St N Ste 406, Wichita, KS 67206-3547 | 2020-06-16 |
| 1376176107 | Natural Wellness Physiotherapy | Physical Therapist | 11444 E Central Ave, Wichita, KS 67206-2805 | 2020-02-20 |
| 1629618095 | Sahar Eshghi | Physical Therapist | 664 N Stratford Ln, Wichita, KS 67206-1530 | 2020-01-13 |
| 1063071306 | Kyle Waits | Physical Therapist | 2243 S Meridian Ave Ste 109, Wichita, KS 67213-1911 | 2019-06-11 |
| 1851875298 | Kalie Dickman | Physical Therapist | 6505 E 37th St N Ste 300, Wichita, KS 67226-3233 | 2018-09-21 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1649764887 | Matthew Bradford Jenkins | Physical Therapist | 7728 W Central Park St, Wichita, KS 67205-1630 | 2018-06-20 |
| 1801386891 | Adam William Veenis | Physical Therapist | 7340 W 21st St N Ste 100, Wichita, KS 67205-1770 | 2018-05-15 |
| Find all providers in WICHITA | ||||
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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.