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 Healthcare61 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 57)

2385 Dolly Ridge Rd
Vestavia, AL 35243
Phone (205) 453-4362

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

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

42015 N Venture Dr
Phoenix, AZ 85086
Phone 4805503000231

833 Jersey St
Denver, CO 80220
Phone (303) 378-1604

3509 Lochwood Dr
Fort Collins, CO 80525
Phone (970) 689-2762

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

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

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

639 US Highway 1
North Palm Beach, FL 33408
Phone (561) 823-1055

4725 Bellwether Ln
Oxford, FL 34484
Phone (352) 430-0073

2630 University Pkwy
Sarasota, FL 34243
Phone (941) 207-2934

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

7330 Powell Rd
Wildwood, FL 34785
Phone 8552393467720

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

3300 Webb Bridge Rd
Alpharetta, GA 30005
Phone (470) 268-8517

3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698

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

100 Washington Commons Dr
Evans, GA 30809
Phone (706) 426-8136

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

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

1790 Powder Springs Rd SW
Marietta, GA 30064
Phone (770) 794-7044

1373 Dadrian Professional Park
Godfrey, IL 62035
Phone (618) 208-2784

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

3211 E Moores Pike
Bloomington, IN 47401
Phone (812) 334-7604

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.