LEGACY PHYSICAL THERAPY, INC (NPI# 1831681410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831681410 |
| Entity Type | Organization |
| Organization Name | LEGACY PHYSICAL THERAPY, INC |
| Practice Address |
3825 Sullivan Street Suite 2 Madison AL 35747-3147 |
| Mailing Address |
3825 Sullivan Street Suite 2 Madison AL 35749-3147 |
| Practice Telephone | 2563252130 |
| Practice Fax Number | 2563252142 |
| Mailing Telephone | 2563252130 |
| Mailing Fax Number | 2563252142 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | NORMAN GARY STINNETT (MANAGER / PTA) |
| Authorized Official Telephone | 2563252130 |
| Authorized Official Credential | LPTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTA5605 | AL | Ambulatory Health Care Facilities |
| Street Address |
3825 SULLIVAN STREET SUITE 2 |
| City | MADISON |
| State | AL |
| Zip Code | 35747-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407261837 | Grant Dental Care PC | Dentist | 114 Emmett Ayers Road, Grant, AL 35747 | 2014-06-24 |
| 1861799918 | Benjamin Glenn Barnes | Nurse Practitioner | 249 5th St. East, Grant, AL 35747 | 2011-02-24 |
| 1669504585 | Grant Clinic | Family Medicine | 91 2nd Ave, Grant, AL 35747 | 2007-03-09 |
| 1467550566 | Julian F Sparks | Dentist | 114 Emmett Ayers Rd, Grant, AL 35747-0069 | 2006-09-20 |
| 1760530497 | Vivian Nell Hannon | Clinic/Center | 5447 Main Street, Grant, AL 35747-6211 | 2007-01-08 |
| 1316948649 | Grant Family Medicine, LLC | Clinic/Center | 4500 Main St, Grant, AL 35747-8303 | 2005-08-09 |
| 1679103808 | Erin Beasley | Nurse Practitioner | 4500 Main St, Grant, AL 35747-8303 | 2020-01-15 |
| 1447723184 | Stephanie Michele Rice | Registered Nurse | 4500 Main St, Grant, AL 35747-8303 | 2019-01-04 |
| 1104149442 | Marshall Medical Center North | Family Medicine | 4500 Main St, Grant, AL 35747-8303 | 2010-03-01 |
| 1295883031 | Amanda Lara Storey | Family Medicine | 4500 Main St, Grant, AL 35747-8303 | 2007-01-08 |
| Find all providers in zip 35747 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
| 1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
| 1508327289 | Body Moksha Physical Therapy | Clinic/Center | 42 Main St Apt 2, Madison, NJ 07940-1887 | 2019-03-26 |
| 1043787294 | Madison Orthopedic Rehab | Clinic/Center | 219 Clifty Dr, Madison, IN 47250-1603 | 2018-10-25 |
| 1033630199 | Deliver Therapy and Rehabilitation, LLC | Clinic/Center | 6666 Odana Rd # 261, Madison, WI 53719-1012 | 2017-06-29 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1558752949 | My 180 Health, LLC | Clinic/Center | 1618 Slaughter Road, Madison, Madison, AL 35758 | 2015-02-07 |
| 1871767913 | Taylor Creek Physical Therapy LLC | Clinic/Center | 119 Saddle Ln, Madison, NE 68748-6346 | 2008-04-19 |
| 1316121601 | Arc Therapy Services LLC | Clinic/Center | 413 S Yellowstone Dr, Madison, WI 53719-1042 | 2007-12-21 |
| 1629261763 | Professional Physical Therapy & Training, LLC | Clinic/Center | 111 Kings Road, Madison, NJ 07940 | 2007-08-22 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on LEGACY PHYSICAL THERAPY, INC.
| 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.