Individual provider Active NPI

Luciano G. Legaspi, PT

  • Physical Therapist
  • Radnor, PA
National Provider Identifier
1295846236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0139809L Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040728000147 PA Practitioner - Physical Therapist in Private Practice 3072583186 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PT0139809LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Radnor Family Practice, PLLC, Dba Im Health CurrentSince Sep 15, 2020 Accepting new patients
Radnor Family Practice Professional Limited Liability Company Physical Therapist Current Accepting new patients
Elam Sports, Inc Physical Therapist PastSince Sep 13, 2020 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.

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.

Verify at the official NPI Registry.