Legacy Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LEGACY PHYSICAL THERAPY LLC

Practice address

11005 Covington Way
Oxford, MS 38655-7349

Phone

(601) 842-5197

NPI assigned

Jun 24, 2026

Last updated

Aug 11, 2026By 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

John Matthew WuerdemanNPI 1104225127

Title

Physical Therapist

Phone

(601) 842-5197

Specialties & licenses 1

Addresses

Locations

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.

• John M Wuerdeman, DPT

  • Physical Therapist
  • Oxford, MS
  • NPI 1104225127
  NPD (past) Authorized official

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1154247310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N LAMAR BLVD # 104",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 COVINGTON WAY",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557349",
            "telephone_number": "601-842-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "WUERDEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "601-842-5197"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Boyd Layton, LPC
• LD-Oxford, LLC (Life Dental Oxford)
• Madison Gayle Leach, MA
• Jasmine B Lee
• Preston Hugh Lee III, D.D.S.
• Tiffany Leister, N.P.
• Angelia Royer Lenschau, LMSW
• Emily Lensing, DDS
• Lucy Hathorn Leslie, PH.D.
• Michael Kenneth Levy

• Physical Therapy Clinic/Center in Oxford, MS
• Providers in Oxford, MS by specialty
• Physical Therapy Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.