Organization Active NPI

Legend Rehab Inc

  • Physical Rehabilitation Occupational Therapist
  • Gainesville, FL
National Provider Identifier
1003147612
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
OT7923 Issued in FL
Legal business name
LEGEND REHAB INC
Practice address
4210 NW 37TH PL
Suite 200
Gainesville, FL 32606-7700
Phone
(352) 872-5200
Fax
(352) 872-5109
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David John Hughes, OTR/L
Title
Occupational Therapist/Owner
Phone
(352) 213-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X OT7923 FL Primary

Addresses

Primary practice location

4210 NW 37TH PL
Suite 200
Gainesville, FL 32606-7700

Mailing address

PO Box 357283
Gainesville, FL 32635-7283
Phone (352) 872-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1003147612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357283",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326357283",
            "telephone_number": "352-872-5200",
            "fax_number": "352-872-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 NW 37TH PL",
            "address_2": "SUITE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067700",
            "telephone_number": "352-872-5200",
            "fax_number": "352-872-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "352-213-6105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "OT7923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.