LEGACY HEALTHCARE (NPI# 1184179004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184179004 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE |
| Practice Address |
240 Branchview Dr Ne Concord NC 28025-3498 |
| Mailing Address |
573 Shamrock Rd New London NC 28127-8682 |
| Practice Telephone | 7043438735 |
| Mailing Telephone | 7049853137 |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |
| Authorized Official Name | KENDRA DILLINGHAM (ON BOARDING COORDINATOR) |
| Authorized Official Telephone | 9198612441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 7352 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 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 |
| 1497051049 | Legacy Healthcare | Clinic/Center | 200 Trade St, Tarboro, NC 27886-5055 | 2011-01-30 |
| 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 |
| Indiana Business Entities | LEGACY HEALTHCARE ADVISORS LLC | 306 E Jefferson Blvd, Mishawaka, IN 46545 |
| 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 |
| Street Address |
240 BRANCHVIEW DR NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699042374 | Alisha Ritchie | Physical Therapy Assistant | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2011-11-22 |
| 1134609530 | Kadie Alyssa Pritchard | Occupational Therapy Assistant | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2018-08-16 |
| 1497259220 | Joshua Craig Scribben | Physical Therapist | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2018-03-19 |
| 1730619974 | Lisa Ann Shepherd | Occupational Therapist | 240 Branchview Dr Ne, Concord, NC 28025 | 2017-06-19 |
| 1437686078 | Jessica Parry | Physical Therapy Assistant | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2017-05-14 |
| 1902351851 | Jennifer Inabinet | Physical Therapy Assistant | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2016-08-21 |
| 1447685805 | Karen Lynn Thomas | Specialist | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2013-09-04 |
| 1942648241 | Rebecca M Dunn | Occupational Therapist | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2013-06-07 |
| 1356602643 | Sharon Jones King | Physical Therapist | 240 Branchview Dr Ne, Apt. 304, Concord, NC 28025-3498 | 2012-06-03 |
| 1053686402 | Tiffany Lefler | Community Based Residential Treatment Facility, Mental Illness | 240 Branchview Dr Ne, Concord, NC 28025-3498 | 2012-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1154938272 | Jennifer Lauren Wong | Occupational Therapist | 9937 Clarkes View Pl Nw, Concord, NC 28027-7235 | 2020-09-24 |
| 1295356194 | Shannon Martell Hill | Occupational Therapist | 1209 Pressley Downs Dr Se, Concord, NC 28025-7260 | 2020-05-01 |
| 1699328252 | April Latoya Morris | Occupational Therapist | 636 Hydrangea Cir Nw, Concord, NC 28027-7244 | 2019-07-22 |
| 1851955512 | Augusta Hixon Polhemus | Occupational Therapist | 35 Forest Ridge Rd, Concord, MA 01742-3844 | 2019-04-29 |
| 1417423302 | Elizabeth Wall | Occupational Therapist | 4420 Marsh Elder Ct, Concord, CA 94521-4446 | 2018-10-17 |
| 1902393226 | Shawn Michael Mclaughlin | Occupational Therapist | 153 Minuteman Dr, Concord, MA 01742-1923 | 2018-04-23 |
| 1730624065 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 354 George W Liles Pkwy Nw, Ste 140, Concord, NC 28027-2403 | 2016-12-22 |
| 1972957744 | Shirley Lynch Scarlett | Occupational Therapist | 96 Commonwealth Ave, Concord, MA 01742-2904 | 2016-04-19 |
| 1497128979 | Juanita Mabry | Occupational Therapist | 5730 Alexander Rd, Concord, NC 28027-8447 | 2015-11-05 |
| 1649655507 | Michele Stampa | Occupational Therapist | 967 Treg Ln, Concord, CA 94518-3317 | 2015-07-21 |
| Find all providers in CONCORD | ||||
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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.