Active NPI
Legacy Physical Therapy and Performance, LLC
- Orthopedic Physical Therapist
- Streetsboro, OH
National Provider Identifier
1104779255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- LEGACY PHYSICAL THERAPY AND PERFORMANCE, LLC
- Practice address
- 9061 Sr-14
Streetsboro, OH 44241 - Phone
- (216) 452-8606
- NPI assigned
- Feb 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Colvin, PT, DPT, ATC
- Title
- Owner, Physical Therapist
- Phone
- (813) 230-9328
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
9061 Sr-14
Streetsboro, OH 44241
Mailing address
8007 Dovegate Cir
Mentor, OH 44060-5997
Phone (813) 230-9328
National Provider Directory
National Provider DirectoryLocations
9061 State Route 14
Streetsboro, OH 44241
Phone (216) 452-8606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1811366651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1104779255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 DOVEGATE CIR",
"city": "MENTOR",
"state": "OH",
"postal_code": "440605997",
"telephone_number": "813-230-9328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9061 SR-14",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "44241",
"telephone_number": "216-452-8606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY PHYSICAL THERAPY AND PERFORMANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-15",
"status": "A",
"authorized_official_last_name": "COLVIN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "813-230-9328",
"authorized_official_credential": "PT, DPT, ATC"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.