LEGACY PHYSIATRY GROUP OHIO, LLC (NPI# 1659768927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659768927 |
| Entity Type | Organization |
| Organization Name | LEGACY PHYSIATRY GROUP OHIO, LLC |
| Other Organization Name | LEGACY PHYSIATRY GROUP |
| Practice Address |
6100 Oak Tree Blvd Ste 200 Independence OH 44131-2544 |
| Mailing Address |
850 Central Pkwy E Suite 275 Plano TX 75074-5561 |
| Practice Telephone | 9723721663 |
| Mailing Telephone | 9723721663 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | VIVEK SASTRY (PRESIDENT/CEO) |
| Authorized Official Telephone | 9723721663 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Legacy Physiatry Group | Doing Business As Name - Organization |
| Street Address |
6100 OAK TREE BLVD STE 200 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842935 | Todd D. Gaddis | Family Medicine | 6100 Oak Tree Blvd, Ste 110, Independence, OH 44131-2544 | 2005-06-28 |
| 1770112062 | Stephanie Leigh Barbee | Social Worker | 6100 Oak Tree Blvd, Independence, OH 44131-2544 | 2020-04-07 |
| 1417407941 | P.a.l.s. for Healing | Community/Behavioral Health | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2016-10-07 |
| 1588110522 | Kevin Joseph Cheung | Counselor | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2016-08-30 |
| 1902254949 | P.a.l.s. for Healing | Voluntary or Charitable | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2016-06-01 |
| 1154714590 | We Care Homecare | Home Health | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2015-03-10 |
| 1427474287 | We Care Homecare Ltd | Home Health | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2014-03-17 |
| 1003252537 | Medicare Transport Inc | Non-emergency Medical Transport (VAN) | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2013-05-10 |
| 1386929727 | Kristen Marie Schiopota | Marriage & Family Therapist | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2011-10-17 |
| 1356571483 | Electromed Wellness Group Incorporated | Pain Medicine | 6100 Oak Tree Blvd, Suite 200, Pmb 2124, Independence, OH 44131-2544 | 2009-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619126380 | Gary Wheeler | Physical Medicine & Rehabilitation | 18510 E Union School Rd, Independence, MO 64058-1981 | 2008-09-17 |
| 1881770469 | Nicholas A Navato | Physical Medicine & Rehabilitation | 3445 S State Route 291, Suite 303, Independence, MO 64057-2663 | 2006-10-27 |
| 1780604611 | Synergy Therapies LLC | Physical Medicine & Rehabilitation | 19049 E Valley View Pkwy, Ste H, Independence, MO 64055-7026 | 2006-07-21 |
| 1215420237 | William Patrick Streck | Physical Medicine & Rehabilitation | 3801 Selsa Rd, Independence, MO 64057-1705 | 2018-06-13 |
| 1336306448 | Physical Medicine and Rehabilitation Services, Inc. | Physical Medicine & Rehabilitation | 3445 S 291 Hwy, Suite 303, Independence, MO 64057-2663 | 2008-05-18 |
| 1285828913 | Mark R. Killman, M.d. P.C. | Physical Medicine & Rehabilitation | 19550 E 39th St S, Suite 415, Independence, MO 64057-2303 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736307 | Olivia Marie Shenberger | Physical Medicine & Rehabilitation | 243 S Monroe Ave, Columbus, OH 43205-1776 | 2020-10-02 |
| 1245846203 | Getachew Knee Clinic | Physical Medicine & Rehabilitation | 1050 Kingsmill Parkway, Unit B, Columbus, OH 43229-1143 | 2020-09-16 |
| 1104438035 | Kevin Bryant Moss | Physical Medicine & Rehabilitation | 6050 Enterprise Pkwy, Solon, OH 44139-2762 | 2020-08-21 |
| 1982215547 | Olivia Wilson | Physical Medicine & Rehabilitation | 197 Baranof E, Westerville, OH 43081-1200 | 2020-08-16 |
| 1033729496 | Wellness Docs | Physical Medicine & Rehabilitation | 11123 Montgomery Rd Ste 105, Cincinnati, OH 45249-2390 | 2020-07-31 |
| 1902422165 | Allison Bailey Schuler | Physical Medicine & Rehabilitation | 1149 Stone Dr Ste 500, Harrison, OH 45030-2728 | 2020-06-23 |
| 1205455789 | Kelly Wynell Ellis | Physical Medicine & Rehabilitation | 5502 San Juan Dr, Toledo, OH 43612-3336 | 2020-04-14 |
| 1417513193 | Active Life Health of Cincinnati LLC | Physical Medicine & Rehabilitation | 8251 Pine Rd Ste 205, Cincinnati, OH 45236-2191 | 2019-05-17 |
| 1437715372 | Laila Elizabeth Stephenson | Physical Medicine & Rehabilitation | 137 Teaberry Cir, Chagrin Falls, OH 44022-4190 | 2019-05-16 |
| 1417513367 | Brian Joseph Kassa | Physical Medicine & Rehabilitation | 1044 Belmont Ave # Meded2s, Youngstown, OH 44504-1006 | 2019-05-16 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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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.