Legacy Physical Therapy and Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEGACY PHYSICAL THERAPY AND WELLNESS PLLC

Practice address

23915 W Main St Unit 109
Plainfield, IL 60544-1993

Phone

(630) 235-4433

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Cowan C BrownNPI 1750757092

Title

Co-Owner/Physical Therapist

Phone

(630) 235-4433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Legacy Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Naperville, IL
  • NPI 1992585095

  O20240105000182

  Same enrollment

Tax ID family

Legacy Physical Therapy and Wellness PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Naperville, IL
  • NPI 1992585095
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cowan Brown, DPT

  • Physical Therapist
  • Lisle, IL
  • NPI 1750757092
  NPD Authorized official
• Ethan David, PT, DPT

  • Physical Therapist
  • Plainfield, IL
  • NPI 1972433993
  NPD
• Jeremy Glavanovits

  • Physical Therapist
  • Lyons, IL
  • NPI 1316714215
  NPD
• Kimberly Hayes, DPT

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1407592777
  NPD
• Natasha Jung

  • Orthopedic Physical Therapist
  • Naperville, IL
  • NPI 1306710751
  NPD
• Ryan Miyashiro, DPT

  • Physical Therapist
  • Joliet, IL
  • NPI 1285083097
  NPD
• Jacob Smith

  • Physical Therapist
  • Saint Charles, IL
  • NPI 1821828013
  NPD

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1043199607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 FOREST VIEW CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632248",
            "telephone_number": "630-235-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23915 W MAIN ST UNIT 109",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441993",
            "telephone_number": "630-235-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHYSICAL THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "COWAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-235-4433"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Aimee Layfield, PA-C
• Sonia Lechuga
• Lauren Ledvina
• Michelle Lee
• Edward Anthony Leech, R.PH.
• Erin Leigh Lehman, LCSW
• Brenna Selena Leiker, PA-C
• Gabriel Lemus, NP
• Jeremy Lenich, CRNA
• Rebecca G Lenihan, DPT

• Physical Therapist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.