LEGACY HEALTHCARE SERVICES INC (NPI# 1679055511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679055511 |
| Entity Type | Organization |
| Organization Name | LEGACY HEALTHCARE SERVICES INC |
| Practice Address |
3725 Wheeler Rd Augusta GA 30909-6623 |
| Mailing Address |
3001 Spring Forest Rd Ste 101 Raleigh NC 27616-2816 |
| Practice Telephone | 7063643325 |
| Mailing Telephone | 9194245080 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | SANDRA M HOSKINS (CEO) |
| 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 |
| 1366063000 | Legacy Healthcare Services Inc | Occupational Therapist | 190 River Park Dr, Little River, SC 29566-6844 | 2020-05-05 |
| 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 |
| 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 |
3725 WHEELER RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629564968 | Lindsay Lively | Occupational Therapist | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2018-07-10 |
| 1770195869 | Kristen Wood | Occupational Therapist | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2020-08-19 |
| 1891339628 | Sharon Marie Mcrae | Occupational Therapy Assistant | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2019-11-05 |
| 1861048076 | Leslie Terrill Toney | Physical Therapy Assistant | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2019-08-13 |
| 1316590185 | Benjamin James | Speech-Language Pathologist | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2019-07-22 |
| 1063065126 | Terra Brazell Shepherd | Occupational Therapy Assistant | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2019-07-18 |
| 1932761756 | John Nettles | Occupational Therapist | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2019-07-01 |
| 1639656622 | Kanan A Patel | Physical Therapist | 3725 Wheeler Rd, Augusta, GA 30909-6623 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| 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 |
|---|---|---|---|---|
| 1295394922 | Evan Ross Miles | Physical Therapist | 2115 Windsor Spring Rd Ste 23, Augusta, GA 30906-4883 | 2019-06-06 |
| 1770041600 | Robert Jeremy Kirschner | Physical Therapist | 1220 W Wheeler Pkwy Ste E, Augusta, GA 30909-1895 | 2019-03-11 |
| 1558887000 | Timothy Richard Mettenburg | Physical Therapist | 3205 Deans Bridge Rd Ste 9, Augusta, GA 30906-4200 | 2017-08-16 |
| 1306366646 | Aegis Group Practice LLC | Physical Therapist | 724 Greene St Apt 814, Augusta, GA 30901-2340 | 2017-06-27 |
| 1295260230 | Shannon Sine | Physical Therapist | 1274 Mid Haines Rd, Augusta, WV 26704-2704 | 2017-04-27 |
| 1609227602 | Judith Downs | Physical Therapist | 275 W Vineland Rd, Augusta, GA 30904-3418 | 2016-06-30 |
| 1285026773 | Kellie Collins | Physical Therapist | 1120 15th St Fl 6, Augusta, GA 30912-0004 | 2015-02-20 |
| 1740697903 | Michael Scott Loving | Physical Therapist | 3205 Deans Bridge Rd, Augusta, GA 30906-4208 | 2014-07-18 |
| 1801201165 | Lindsay Chambers | Physical Therapist | 3119 Sussex Rd, Augusta, GA 30909-3327 | 2014-06-25 |
| 1740619907 | Chris Rogers | Physical Therapist | 1807 Heath St, Augusta, GA 30904-5280 | 2013-11-07 |
| Find all providers in AUGUSTA | ||||
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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.