NPIMap

Organization Active NPI

Legacy Healthcare Inc

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1154375715
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LEGACY HEALTHCARE INC
Practice address
7254 S Tamiami TRL
Sarasota, FL 34231-5554
Phone
(941) 924-7819
Fax
(941) 924-7919
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Cesar Chacon
Title
Administrator
Phone
(941) 302-9400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

7254 S Tamiami TRL
Sarasota, FL 34231-5554

Mailing address

1144 Tallevast Rd
Suite 105
Sarasota, FL 34243-3267
Phone (941) 355-9601

Other identifiers 2

IdentifierTypeStateIssuer
2989794OtherFLAETNA GROUP PROV NUM
RY8OtherFLBCBS FACILITY ID

Other names 1

  • Legacy Physical Therapy & Sports Training Doing business as

National Provider Directory

National Provider Directory

Locations

1144 Tallevast Rd
Ste 105
Sarasota, FL 34243

7254 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 924-7819

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1154375715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 TALLEVAST RD",
            "address_2": "SUITE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342433267",
            "telephone_number": "941-355-9601",
            "fax_number": "941-355-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315554",
            "telephone_number": "941-924-7819",
            "fax_number": "941-924-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-302-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP PROV NUM",
            "identifier": "2989794",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY ID",
            "identifier": "RY8",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Physical Therapy & Sports Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.