LEGACY HEALTHCARE SERVICES INC (NPI# 1366063000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366063000 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES INC |
| Practice Address |
190 River Park Dr Little River SC 29566-6844 |
| Mailing Address |
3001 Spring Forest Rd Ste 101 Raleigh NC 27616-2816 |
| Practice Telephone | 8552393467 |
| Mailing Telephone | 9194244312 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454558 | Legacy Healthcare Services Inc | Occupational Therapist | 8458 Gleason Dr, Knoxville, TN 37919-5482 | 2020-07-14 |
| 1942829064 | Legacy Healthcare Services Inc | Speech-Language Pathologist | 4471 Sheffield Pl, Bay City, MI 48706-2564 | 2020-04-09 |
| 1063044519 | Legacy Healthcare Services Inc | Occupational Therapist | 5011 Las Soleras Dr, Santa Fe, NM 87507-2100 | 2020-02-12 |
| 1962033613 | Legacy Healthcare Services Inc | Occupational Therapist | 42015 N Venture Dr, Anthem, AZ 85086-3300 | 2020-01-31 |
| 1336770221 | Legacy Healthcare Services Inc | Occupational Therapist | 1601 W Queen Creek Rd, Chandler, AZ 85248-0899 | 2020-01-29 |
| 1174153266 | Legacy Healthcare Services Inc | Occupational Therapist | 7047 Hamilton Mason Rd, West Chester, OH 45069-1424 | 2020-01-17 |
| 1740820828 | Legacy Healthcare Services Inc | Occupational Therapist | 3365 Ogden Rd, Roanoke, VA 24018-1151 | 2020-01-07 |
| 1972147528 | Legacy Healthcare Services Inc | Occupational Therapist | 3500 Fairview St, Bethlehem, PA 18017-8978 | 2019-11-06 |
| 1942842919 | Legacy Healthcare Services Inc | Occupational Therapist | 519 Perkins Rd, Palmetto, GA 30268-2374 | 2019-10-11 |
| 1386187227 | Legacy Healthcare Services Inc | In Home Supportive Care | 300 W Hargett St, Unit 714, Raleigh, NC 27601-1591 | 2016-11-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
| Street Address |
190 RIVER PARK DR |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-6844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| 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 |
|---|---|---|---|---|
| 1225581721 | Jodi Young | Physical Therapist | 749 Lafayette Park Dr, Little River, SC 29566-7763 | 2016-08-01 |
| 1508231531 | Prs 6, LLC | Physical Therapist | 111 Pavilion Dr, Little River, SC 29566-9396 | 2015-12-02 |
| 1689875080 | David Laif Haught | Physical Therapist | 304 Highway 90 E Unit C3, Little River, SC 29566-9446 | 2007-05-31 |
| 1598239311 | Vincenzo Paul Ferranti | Physical Therapist | 4237 River Hills Dr Ste 120, Little River, SC 29566-6444 | 2019-01-15 |
| 1063981017 | Ramnik Singh Uppal | Physical Therapist | 4237 River Hills Dr Ste 120, Little River, SC 29566-6444 | 2018-11-20 |
| 1982052981 | Karl Ehlers | Physical Therapist | 111 Pavilion Dr, Little River, SC 29566-9396 | 2016-05-31 |
| 1003249673 | James St. Cyr | Physical Therapist | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 | 2013-08-18 |
| 1952657728 | Kristine Altena | Physical Therapist | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 | 2012-07-31 |
| 1447579529 | Carla Antolak | Physical Therapist | 4237 River Hills Dr, Ste 110, Little River, SC 29566-6444 | 2010-05-27 |
| 1760677967 | John C Fitzgerald | Physical Therapist | 4237 River Hills Dr, Ste 120, Little River, SC 29566-6444 | 2007-09-11 |
| Find all providers in LITTLE RIVER | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
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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.