Legacy Healthcare Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEGACY HEALTHCARE SERVICES INC

Practice address

1 Bridgewater Rd
Farmington, CT 06032-2263

Phone

(855) 239-3467

NPI assigned

May 11, 2022

Last updated

Jan 22, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 9

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.

• Nicholas D Albert

  • Occupational Therapist
  • Canton, CT
  • NPI 1881573715
  Medicare reassignment Care Compare group NPD
• Dorota Katarzyna Korczak, MSPT

  • Physical Therapist
  • Cheshire, CT
  • NPI 1437357407
  Medicare reassignment Care Compare group NPD
• Olivia O Longley, OTR/L

  • Occupational Therapist
  • Enfield, CT
  • NPI 1396250072
  Medicare reassignment Care Compare group NPD
• Aimee Weems

  • Speech-Language Pathologist
  • Torrington, CT
  • NPI 1437905817
  Medicare reassignment Care Compare group NPD
• Susan L Cassone, RPT

  • Physical Therapist
  • Fremont, NH
  • NPI 1932302452

  CT

  Medicare reassignment Care Compare group NPD
• Patricia Ann Gromoshak, MSRPT

  • Geriatric Physical Therapist
  • Farmington, CT
  • NPI 1104090414

  Geriatrics

  Medicare reassignment NPD
• Annie-Karine Lamoureux, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Marlborough, CT
  • NPI 1720388572
  Medicare reassignment NPD
• Sonia Maria Sousa

  • Occupational Therapist
  • Farmington, CT
  • NPI 1841920014
  Medicare reassignment NPD
• Sara Jane Tine

  • Physical Therapist
  • New Haven, CT
  • NPI 1366848962
  Medicare reassignment NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1265178354",
    "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": "1 BRIDGEWATER RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322263",
            "telephone_number": "855-239-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joohoon Lee, DDS
• Juyong Lee, MD/PHD
• Rachel Lee, MD, MPH
• Mason Peter Leeman-Markowski, MD, PHD
• Nicholas Lefebvre
• Ashton Lehmann, M.D.
• Judith Leichtberg, LCSW
• Arthur Lempicki
• Christina Lemunyon, DO
• Courtney Leonard

• Physical Therapist in Farmington, CT
• Providers in Farmington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.