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
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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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
Legacy61 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 55)

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

42015 N Venture Dr
Phoenix, AZ 85086
Phone (480) 550-3000

2435 S Quebec St
Denver, CO 80231
Phone (719) 941-9017

10100 Commons St
Lone Tree, CO 80124
Phone (720) 545-1645

10605 S Jog Rd
Boynton Beach, FL 33437
Phone (561) 413-6807

15800 Beach Walk Blvd
Fort Myers, FL 33908
Phone (239) 349-3769

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

9101 SW 24th St
Miami, FL 33165
Phone (305) 330-6698

9070 SW 80th Ave
Ocala, FL 34481
Phone (352) 509-4033

675 Veterans Memorial Pkwy
Orange City, FL 32763
Phone (386) 456-4525

8601 N Davis Hwy
Pensacola, FL 32514
Phone (850) 390-8991

500 SE Indian St
Stuart, FL 34997
Phone (772) 252-1303

231 Courtyard Blvd
Sun City Center, FL 33573
Phone (813) 634-5741

1060 Clarity Pointe Dr
Tallahassee, FL 32308
Phone (850) 219-2900

1450 Venice East Blvd
Venice, FL 34292
Phone (941) 234-4577

7330 Powell Rd
Wildwood, FL 34785
Phone (772) 248-4800

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

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

2601 Thompson Bridge Rd
Gainesville, GA 30501
Phone (470) 577-8391

11190 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (678) 691-6815

180 W Half Day Rd
Buffalo Grove, IL 60089
Phone (847) 478-8484

16 Lilac Ave
Fox Lake, IL 60020
Phone (847) 437-4663

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

Practitioners & affiliated clinicians

Practitioners 1,897

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

View all 1,897

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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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.