Legacy Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

17059 Issued in MA

Legal business name

LEGACY PHYSICAL THERAPY LLC

Practice address

110 Haverhill Rd
Suite 292
Amesbury, MA 01913-2123

Phone

(413) 886-7825

NPI assigned

Aug 18, 2011

Last updated

Aug 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Berube, MPTNPI 1437133899

Title

Physical Therapist/Owner/Director

Phone

(413) 886-7825

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Berube, PT

  • Physical Therapist
  • Amesbury, MA
  • NPI 1437133899
  Authorized official Same address or phone

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1033499314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WILDWOOD DR",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504517",
            "telephone_number": "413-886-7825",
            "fax_number": "978-255-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD",
            "address_2": "SUITE 292",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132123",
            "telephone_number": "413-886-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER/DIRECTOR",
        "authorized_official_telephone_number": "413-886-7825",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "17059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarod Raymond Lavarnway, PTA
• Lavender Moon Counseling and Healing
• Jean E Lavin
• Brooke Lear, O.T.
• Sheri J Lefman
• Dawn Allison Leonard, RN, BSN
• Kimberlee M Lesage, MS, OTR/L
• Jennifer Leshin
• Donna Anne Levin, LICSW
• Peter Liccardi, PETER LICCARDI

• Physical Therapy Clinic/Center in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.