LEGACY HEALTHCARE SERVICES, INC. (NPI# 1801268859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801268859 |
| 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 | 9192317575 |
| Mailing Telephone | 9194245086 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | ASHLEY KEESLER (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 7163074960 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A5492 | NC | 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 |
| 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 |
| 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 |
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 |
| 1497110365 | Legacy Healthcare Services, Inc | Occupational Therapist | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2015-12-21 |
| 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 | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1144711409 | Shavonna Ronise Alexander | Physical Therapy Assistant | 1828 Mayridge Ln, Raleigh, NC 27610-6800 | 2018-05-22 |
| 1992215818 | Roland Rivera | Physical Therapy Assistant | 5920 Sandy Forks Rd Ste 200, Raleigh, NC 27609-3814 | 2017-10-05 |
| 1083009443 | Brian Funk | Physical Therapy Assistant | 4813 Arbor Chase Dr, Raleigh, NC 27616-0734 | 2015-04-02 |
| 1538571971 | Natalie Murphy | Physical Therapy Assistant | 8305 Falls of Neuse Rd Ste 102, Raleigh, NC 27615-3546 | 2014-05-20 |
| 1356785513 | Doris Hubert | Physical Therapy Assistant | 532 Rose Ln, Raleigh, NC 27610-3647 | 2013-04-18 |
| 1174886287 | Charles Bradley Merrill | Physical Therapy Assistant | 5117 Bridlington Ln, Raleigh, NC 27612-3422 | 2012-06-22 |
| 1629339890 | Deborah Nicole Andre | Physical Therapy Assistant | 9905 Jerome Ct, Raleigh, NC 27617-4282 | 2012-06-05 |
| 1538443718 | Deanna K Mcdonald | Physical Therapy Assistant | 12100 Deer Run, Raleigh, NC 27614-8402 | 2011-10-05 |
| 1538442306 | Joyce Hall Rand | Physical Therapy Assistant | 1110 Falls River Ave, Raleigh, NC 27614-7800 | 2011-09-27 |
| 1184856213 | Ryann Jean Bubac | Physical Therapy Assistant | 10703 Bedfordtown Dr, Raleigh, NC 27614-7443 | 2009-08-24 |
| 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.