NPIMap

Organization Active NPI

Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1225879489
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LEGACY HEALTHCARE SERVICES INC
Practice address
1705 Kildaire Farm Rd
Cary, NC 27511-6525
Phone
(919) 342-0290
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Mr. William G. Wilson Jr.
Title
Cfo
Phone
(919) 424-5080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1705 Kildaire Farm Rd
Cary, NC 27511-6525

Mailing address

110 Horizon Dr Ste 310
Raleigh, NC 27615-4926
Phone (919) 424-5080

National Provider Directory

National Provider Directory
Tax ID family
Legacy Healthcare Services61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations (25 of 67)

1 Concordia Dr
Bella Vista, AR 72715
Phone (417) 669-3427

1967 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 300-1626

7475 S Shawnee St
Aurora, CO 80016
Phone (303) 766-8867

864 Barranca Dr
Castle Rock, CO 80104
Phone (303) 800-4060

14501 E Crestline Dr
Centennial, CO 80015
Phone (303) 918-1219

5055 S Lemay Ave
Fort Collins, CO 80525
Phone (970) 223-0880

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

8930 R G Skinner Pkwy
Jacksonville, FL 32256
Phone (904) 512-5740

1071 Lake Ave NE
Largo, FL 33771
Phone (727) 216-7955

3053 Airport Rd N
Naples, FL 34105
Phone (239) 206-1852

1801 SE 24th Rd
Ocala, FL 34471
Phone (352) 351-8119

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

2395 Minton Rd
West Melbourne, FL 32904
Phone (321) 220-0295

80 Michael Blake Blvd
Winter Springs, FL 32708
Phone (407) 542-3489

210 Hope Dr
Cleveland, GA 30528
Phone (706) 865-0029

3769 Kallie Cir
Dawsonville, GA 30534
Phone (419) 540-9011

1012 Enota Ave NE
Gainesville, GA 30501
Phone (770) 287-0714

11190 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (678) 464-7162

840 Lecroy Dr NE
Marietta, GA 30068
Phone (770) 783-2944

423 Covington Ave
Thomasville, GA 31792
Phone (229) 226-6074

700 Sheridan Rd
Highwood, IL 60040
Phone (847) 510-5981

5701 W 101st Pl
Oak Lawn, IL 60453
Phone (708) 576-8569

335 Ridge Rd
Wilmette, IL 60091
Phone (224) 408-2304

7555 El Beulah Blvd
Indianapolis, IN 46256
Phone (317) 284-1893

9800 Outer Lincln Ave
Newburgh, IN 47630
Phone (812) 518-9386

Practitioners & affiliated clinicians

Practitioners 1,903

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.

View all 1,903

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1225879489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HORIZON DR STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154926",
            "telephone_number": "919-424-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116525",
            "telephone_number": "919-342-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-424-5080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.