NPIMap

Organization Active NPI

Legacy Therapy Center, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Corpus Christi, TX
National Provider Identifier
1275764870
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
LEGACY THERAPY CENTER, INC.
Practice address
5633 S. Staples Street
Suite 400 & 500
Corpus Christi, TX 78466-1140
Phone
(361) 855-1352
Fax
(361) 855-1254
NPI assigned
Jul 30, 2009
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Mr. Ambrose Hernandez
Title
Ceo/Owner
Phone
(361) 855-0848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X TX
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

5633 S. Staples Street
Suite 400 & 500
Corpus Christi, TX 78466-1140

Mailing address

P.O. Box 61140
Corpus Christi, TX 78466-1140
Phone (361) 855-1352

National Provider Directory

National Provider Directory

Locations

5633 S Staples St
Ste 400
Corpus Christi, TX 78411
Phone (361) 855-1352

5633 S Staples St
Ste 500
Corpus Christi, TX 78411
Phone (361) 855-1352

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1275764870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 61140",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661140",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 S. STAPLES STREET",
            "address_2": "SUITE 400 & 500",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661140",
            "telephone_number": "361-855-1352",
            "fax_number": "361-855-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "361-855-0848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.