LEGACY HEALTHCARE SERVICES, INC (NPI# 1467655761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467655761 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC |
| Other Organization Name | LEGACY HEALTHCARE |
| Practice Address |
2270 Park Hills Dr Fairborn OH 45324-3993 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2817 |
| Practice Telephone | 9377549820 |
| Mailing Telephone | 9194245080 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-10-04 |
| Authorized Official Name | SANDRA HOSKINS (PRESIDENT) |
| 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 |
| Other Name | Type Code |
|---|---|
| Legacy Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1255750030 | Legacy Healthcare Services, Inc | Occupational Therapist | 5901 Macarthur Blvd Nw, Washington, DC 20016-2541 | 2014-04-09 |
| 1962828053 | Legacy Healthcare Services, Inc | Occupational Therapist | 222 S 25th St, Terre Haute, IN 47803-1800 | 2014-03-13 |
| 1316362650 | Legacy Healthcare Services, Inc | Occupational Therapist | 5400 Laurel Lake Dr, Waco, TX 76710-2835 | 2014-02-24 |
| 1215298005 | Legacy Healthcare Services, Inc | Occupational Therapist | 12826 Daylight Cir, Saint Louis, MO 63131 | 2012-06-07 |
| 1497110365 | Legacy Healthcare Services, Inc | Occupational Therapist | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2015-12-21 |
| 1174997233 | Legacy Healthcare Services, Inc | Occupational Therapist | 3420 Wake Forest Rd, Durham, NC 27703-3522 | 2015-11-30 |
| 1598139669 | Legacy Healthcare Services, Inc | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-11-30 |
| 1336535988 | Legacy Healthcare Services, Inc | Occupational Therapist | 8451 Us Highway 301 S, Riverview, FL 33578-5441 | 2015-04-10 |
| 1578960902 | Legacy Healthcare Services, Inc | Occupational Therapy Assistant | 322 Nuway Cir, Lenoir, NC 28645-3656 | 2014-12-01 |
| 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 |
| Indiana Business Entities | LEGACY HEALTHCARE SERVICES, INC. | 3001 Spring Forest Road, Raleigh, NC 27616 |
| Street Address |
2270 PARK HILLS DR |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-3993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578803508 | Amelia Castro | Occupational Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2013-02-28 |
| 1750642427 | Sharita Person | Occupational Therapy Assistant | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2012-05-30 |
| 1821393521 | Stephanie Jo Friday | Physical Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2011-01-11 |
| 1821390055 | Karla Duvall | Occupational Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2010-11-19 |
| 1528205838 | Janell Marie Stinson | Physical Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| 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 |
|---|---|---|---|---|
| 1619209418 | Gary Lee Monigold | Physical Therapist | 436 Rising Hill Dr, Fairborn, OH 45324-5915 | 2010-02-03 |
| 1336335439 | Jeffery K Frankart | Physical Therapist | 3878 Greenbriar Dr, Fairborn, OH 45324-9719 | 2007-09-21 |
| 1376159822 | Hunter Allen Andrews | Physical Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2020-09-21 |
| 1275169336 | Kristin Brown | Physical Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6021 | 2020-03-19 |
| 1073009163 | Kelleen Porter | Physical Therapist | 7617 Dayton Springfield Rd, Fairborn, OH 45324-3560 | 2018-07-02 |
| 1811484710 | Bradford A Thomas | Physical Therapist | 789 Stoneybrook Trl, Fairborn, OH 45324-6099 | 2018-04-16 |
| 1740690262 | Kathy Keipper | Physical Therapist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2014-05-06 |
| 1821393521 | Stephanie Jo Friday | Physical Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2011-01-11 |
| 1528205838 | Janell Marie Stinson | Physical Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2009-01-08 |
| 1366615973 | Marc J Seitz | Physical Therapist | 7800 Dayton Springfield Rd, Fairborn, OH 45324-1997 | 2008-04-04 |
| Find all providers in FAIRBORN | ||||
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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.