LEGACY HEALTHCARE INC (NPI# 1235183021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235183021 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE INC |
| Other Organization Name | LEGACY PHYSICAL THERAPY & SPORTS TRAINING |
| Practice Address |
4134 Gulf of Mexico Dr Suite 209 Longboat Key FL 34228-2612 |
| Mailing Address |
Po Box 1156 Ellenton FL 34222-1156 |
| Practice Telephone | 9413830414 |
| Practice Fax Number | 9413830120 |
| Mailing Telephone | 9417290003 |
| Mailing Fax Number | 9417290004 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | MR. CESAR CHACON (ADMINISTRATOR) |
| Authorized Official Telephone | 9413029400 |
| 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 | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FACILITY NUMBER | Y919H | 01 |
| FL | 888322000 | 05 | |
| RAIL ROAD GROUP | DB5339 | 01 | |
| FL | AETNA GROUP PROVIDER NUM | 2989794 | 01 |
| Other Name | Type Code |
|---|---|
| Legacy Physical Therapy & Sports Training | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306883962 | Legacy Healthcare Inc | Occupational Therapist | 3030 University Pkwy, Sarasota, FL 34243-2502 | 2006-06-01 |
| 1861446437 | Legacy Healthcare Inc | Occupational Therapist | 1880 59th St W, Bradenton, FL 34209-4630 | 2006-05-19 |
| 1154375715 | Legacy Healthcare Inc | Occupational Therapist | 7254 S Tamiami Trl, Sarasota, FL 34231-5554 | 2006-05-19 |
| 1972556017 | Legacy Healthcare Inc | Occupational Therapist | 834 Pinebrook Rd, Venice, FL 34285-7123 | 2006-05-18 |
| 1710930771 | Legacy Healthcare Inc | Occupational Therapist | 8175 Us Highway 301 N, Parrish, FL 34219-8669 | 2006-05-18 |
| 1770855470 | Legacy Healthcare Inc | Physical Therapist | 2650 Bahia Vista St, Sarasota, FL 34239-2635 | 2012-01-27 |
| 1497702815 | Legacy Healthcare Inc | Occupational Therapist | 8175 Us Highway 301 N, Parrish, FL 34219-8669 | 2006-05-30 |
| 1891749206 | Legacy Healthcare Inc | Occupational Therapist | 2650 Bahia Vista St, Suite 101, Sarasota, FL 34239-2635 | 2006-05-20 |
| 1578517363 | Legacy Healthcare Inc | Occupational Therapist | 8175 Us Highway 301 N, Parrish, FL 34219-8669 | 2006-05-19 |
| Street Address |
4134 GULF OF MEXICO DR SUITE 209 |
| City | LONGBOAT KEY |
| State | FL |
| Zip Code | 34228-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692125 | Motus Healthcare LLC | Physical Therapist | 4134 Gulf of Mexico Dr, Unit 209, Longboat Key, FL 34228-2642 | 2012-06-06 |
| 1992075279 | Dominique Madeleine Kohlenberger | Physical Therapist | 4134 Gulf of Mexico Dr, Unit 209, Longboat Key, FL 34228-2642 | 2012-01-04 |
| 1023261419 | Kim Channing Dahlby | Physical Therapist | 4134 Gulf of Mexico Dr, Unit 209, Longboat Key, FL 34228-2612 | 2008-10-29 |
| 1851581250 | Key Counseling, LLC | Counselor | 4134 Gulf of Mexico Dr, 208c, Longboat Key, FL 34228-2612 | 2007-07-31 |
| 1780622837 | Tonya Sue Badenhorst | Physical Therapist | 4134 Gulf of Mexico Dr, Suite 209, Longboat Key, FL 34228-2612 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568760841 | Arthur Ancowitz | Family Medicine | 1530 Harbor Sound Drive, Longboat Key, FL 34228 | 2011-03-10 |
| 1134446701 | Bonnie Joy Brodkin | Emergency Medicine | 3660 Gulf of Mexico Dr, 104a, Longboat Key, FL 34228 | 2010-04-22 |
| 1770774077 | Renee Karas Crames | Counselor | 535 Sanctuary Drive A 402, Longboat Key, FL 34228 | 2007-08-05 |
| 1770695256 | Key Rehab Inc | Physical Therapist | 5350 Gulf of Mexico Drive, Suite 205, Longboat Key, FL 34228 | 2006-08-31 |
| 1326078056 | Pamela J. Letts, Md Pa | Family Medicine | 5370 Gulf of Mexico Drive, Suite 205, Longboat Key, FL 34228 | 2006-07-05 |
| 1346421047 | Richard A Green | Physical Therapist | 5350 Gulf of Mexico Drive, Suite 205, Longboat Key, FL 34228 | 2007-11-21 |
| 1831239698 | Janis Renee Frawley | Speech-Language Pathologist | 751 Russell St, Longboat Key, FL 34228-1053 | 2007-02-08 |
| 1821104118 | Peter A. King | Emergency Medicine | 6800 Gulf of Mexico Dr Apt 190, Longboat Key, FL 34228-1333 | 2006-08-21 |
| 1861740888 | Gps II | Psychologist | 6603 Gulfside Rd, Longboat Key, FL 34228-1416 | 2012-08-23 |
| 1063453546 | James Richard Whitman | Psychiatry & Neurology | 686 Norton St, Longboat Key, FL 34228-1446 | 2006-06-08 |
| Find all providers in zip 34228 | ||||
| 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 |
|---|---|---|---|---|
| 1770695256 | Key Rehab Inc | Physical Therapist | 5350 Gulf of Mexico Drive, Suite 205, Longboat Key, FL 34228 | 2006-08-31 |
| 1255692125 | Motus Healthcare LLC | Physical Therapist | 4134 Gulf of Mexico Dr, Unit 209, Longboat Key, FL 34228-2642 | 2012-06-06 |
| 1992075279 | Dominique Madeleine Kohlenberger | Physical Therapist | 4134 Gulf of Mexico Dr, Unit 209, Longboat Key, FL 34228-2642 | 2012-01-04 |
| 1023261419 | Kim Channing Dahlby | Physical Therapist | 4134 Gulf of Mexico Dr, Unit 209, Longboat Key, FL 34228-2612 | 2008-10-29 |
| 1346421047 | Richard A Green | Physical Therapist | 5350 Gulf of Mexico Drive, Suite 205, Longboat Key, FL 34228 | 2007-11-21 |
| 1780622837 | Tonya Sue Badenhorst | Physical Therapist | 4134 Gulf of Mexico Dr, Suite 209, Longboat Key, FL 34228-2612 | 2006-06-02 |
| 1811940950 | Andrew T. Elton | Physical Therapist | 5370 Gulf of Mexico Dr, Suite 204a, Longboat Key, FL 34228-2070 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144139 | Lauren Owsowitz | Physical Therapist | 4127 Meander Pl Unit 104, Rockledge, FL 32955-5297 | 2020-11-06 |
| 1548861602 | Action Therapy Group LLC | Physical Therapist | The Terrace of Ivy Acres, 3964 Florida Ave, Jay, FL 32565-1104 | 2020-11-05 |
| 1194326371 | Vanessa Angel | Physical Therapist | 12734 Avalon Lake Dr, Orlando, FL 32828-7314 | 2020-11-04 |
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1386245819 | William Dieppa | Physical Therapist | 7800 Sw 87th Ave Ste A110, Miami, FL 33173-3570 | 2020-11-02 |
| 1457951667 | Darius Stukes | Physical Therapist | 133 Sw Twig Ave, Port St Lucie, FL 34983-3031 | 2020-10-27 |
| 1366042673 | Martinez Physical Therapy Inc | Physical Therapist | 1500 Nw 89th Ct Ste 208, Doral, FL 33172-2645 | 2020-10-27 |
| 1164021176 | Dave Aaron Dangan | Physical Therapist | 1750 Longleaf Blvd Ste 5&6, Lake Wales, FL 33859-2504 | 2020-10-21 |
| 1215536438 | Elizabeth Sorrentino | Physical Therapist | 4404 Nw 67th Way, Coral Springs, FL 33067-3046 | 2020-10-19 |
| 1205434990 | Symmetry Health LLC | Physical Therapist | 550 Se 6th Ave Ste 200q, Delray Beach, FL 33483-5306 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | LONGBOAT KEY |
| Zip Code | 34228 |
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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.