Active NPI
Luciano G. Legaspi, PT
- Physical Therapist
- Radnor, PA
National Provider Identifier
1295846236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0139809L
- Practice address
- 320 King of Prussia Rd
Suite 100
Radnor, PA 19087-4440 - Phone
- (610) 341-9100
- Fax
- (610) 341-9993
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0139809L | PA | Primary |
Addresses
Primary practice location
320 King of Prussia Rd
Suite 100
Radnor, PA 19087-4440
Mailing address
320 King of Prussia Rd
Suite 100
Radnor, PA 19087-4440
Phone (610) 341-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
372 W Lancaster Ave
Wayne, PA 19087-3924
Phone (610) 688-8807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0139809L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radnor Family Practice, PLLC, Dba Im Health | Current | Accepting new patients | |
| Radnor Family Practice Professional Limited Liability Company | Physical Therapist | Current | Accepting new patients |
| Elam Sports, Inc | Physical Therapist | Past | Accepting new patients |
| Warfighter'S Clinic | Past | Accepting new patients | |
| Elam Sports, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
372 W Lancaster Ave
Wayne, PA 19087
Phone (610) 688-8807
372 W Lancaster Ave
Fl 3
Wayne, PA 19087
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Wayne, PA
- NPI 1750407144
Physical Therapist
-
- Urgent Care Clinic/Center
- Wayne, PA
- NPI 1730848417
-
- Physical Therapist
- Kapolei, HI
- NPI 1316982523
-
- Physical Therapist
- Pearl City, HI
- NPI 1770512048
-
- Pain Medicine Physician
- Kapolei, HI
- NPI 1003357765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295846236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 KING OF PRUSSIA RD",
"address_2": "SUITE 100",
"city": "RADNOR",
"state": "PA",
"postal_code": "190874440",
"telephone_number": "610-341-9100",
"fax_number": "610-341-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 KING OF PRUSSIA RD",
"address_2": "SUITE 100",
"city": "RADNOR",
"state": "PA",
"postal_code": "190874440",
"telephone_number": "610-341-9100",
"fax_number": "610-341-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGASPI",
"first_name": "LUCIANO",
"middle_name": "G.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT0139809L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Radnor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.