LEGACY HEALTHCARE SERVICES, INC (NPI# 1598139669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598139669 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES, INC |
| Practice Address |
3501 Senior Village Ln Nw Wilson NC 27896-9618 |
| Mailing Address |
3001 Spring Forest Rd Raleigh NC 27616-2815 |
| Practice Telephone | 2522061310 |
| Practice Fax Number | 2522069053 |
| Mailing Telephone | 9194245080 |
| Mailing Fax Number | 9194319224 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | SANDRA M HOSKINS (CEO) |
| Authorized Official Telephone | 9194245081 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1467655761 | Legacy Healthcare Services, Inc | Occupational Therapist | 2270 Park Hills Dr, Fairborn, OH 45324-3993 | 2007-06-06 |
| 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 |
| 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 |
3501 SENIOR VILLAGE LN NW |
| City | WILSON |
| State | NC |
| Zip Code | 27896-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285770933 | Wilson Assisted Living | Assisted Living Facility | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2007-01-29 |
| 1104463272 | Leah Yenney Stevenson | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2019-12-07 |
| 1457998098 | Craig Markowski | Physical Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2019-12-03 |
| 1043853351 | Bradley Shane Edwards | Occupational Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2019-10-21 |
| 1700436300 | Aaron Michael Giggers | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2019-09-16 |
| 1770092132 | Katina Jenkins Parks | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2017-09-28 |
| 1568817351 | Mindy Pierce | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2016-04-28 |
| 1104298330 | Bobbi Mallol | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-10-27 |
| 1437520582 | Traci Melton | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543972 | Realo Discount Drug Stores of Eastern North Carolina, Inc | Durable Medical Equipment & Medical Supplies | 3724 Raleigh Road Parkway, Suite A, Wilson, NC 27896 | 2018-10-02 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1144744517 | Sara Lynn Campbell | Physical Therapist | 3200 Nash Street North, Wilson, NC 27896 | 2017-07-27 |
| 1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
| 1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
| 1780058057 | Marsha Ricketts Harper | Occupational Therapy Assistant | 3105 Senior Village Lane, Wilson, NC 27896 | 2015-11-24 |
| 1508122615 | Charlotte Hurt | Social Worker | 910 Raleigh Rd Parkway, Wilson, NC 27896 | 2012-04-03 |
| 1447542139 | Sarah Elizabeth Kirby Bischoff | Pharmacist | 3401 Raleigh Rd, Harris Teeter, Wilson, NC 27896 | 2011-05-12 |
| 1235462342 | Wilson Medical Group | Non-Pharmacy Dispensing Site | 3302 Nash St North, Wilson, NC 27896 | 2009-09-09 |
| 1164662466 | My Friend's House, LLC | Community Based Residential Treatment Facility, Mental Illness | 3607 Columbia Avenue, Wilson, NC 27896 | 2009-02-26 |
| Find all providers in zip 27896 | ||||
| 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 |
|---|---|---|---|---|
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1255949905 | Caitlin Elizabeth Ciccone | Physical Therapist | 4010 N Lake Creek Dr, Unit C, Wilson, WY 83014-8301 | 2020-07-20 |
| 1164892808 | Tricia Maragh | Physical Therapist | 1130 Branch St Nw, Wilson, NC 27893-2437 | 2015-10-06 |
| 1053796003 | Cassandra Ann Fuller | Physical Therapist | 5237 Hhr Ranch Rd, Wilson, WY 83014-9220 | 2015-07-20 |
| 1669874715 | Jeanette Bacolod Zapanta | Physical Therapist | 4200 Thistle Dr Nw, Apartment A, Wilson, NC 27896-7617 | 2014-09-19 |
| 1619214194 | Peak Physical Therapy Inc | Physical Therapist | 5237 Hhr Ranch Rd Ste 5, Wilson, WY 83014-9210 | 2013-01-03 |
| 1619131208 | Jamie Kate Wilkerson | Physical Therapist | 1403 Queen Anne Rd Nw, Wilson, NC 27896-1445 | 2008-07-14 |
| 1821149857 | Total Communication, Inc. | Physical Therapist | 610 Nash St Ne, Wilson, NC 27893-3045 | 2007-01-16 |
| 1487737102 | Scott E Harmon | Physical Therapist | 4030 Lake Creek Dr N, Wilson, WY 83014-9689 | 2006-10-24 |
| 1861450884 | Comprehensive Rehab of Wilson, Inc. | Physical Therapist | 1811 Forest Hills Rd W, Wilson, NC 27893-3412 | 2006-05-01 |
| Find all providers in WILSON | ||||
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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.