Organization Active NPI

Legendary Heights LLC

  • Physical Therapy Clinic/Center
  • Allen, TX
National Provider Identifier
1205632205
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LEGENDARY HEIGHTS LLC
Practice address
653 Meadowbrook St
Allen, TX 75002-4731
Phone
(580) 740-1169
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Danrich KrugerNPI 1053117150
Title
Ceo
Phone
(580) 740-1169

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

653 Meadowbrook St
Allen, TX 75002-4731

Mailing address

653 Meadowbrook St
Allen, TX 75002-4731
Phone (580) 740-1169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1205632205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MEADOWBROOK ST",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024731",
            "telephone_number": "580-740-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MEADOWBROOK ST",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024731",
            "telephone_number": "580-740-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "DANRICH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-740-1169"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.