Organization Active NPI

Legacy Heart Care of San Antonio

Doing business as Flow Therapy Live Oak

  • Cardiovascular Disease Physician
  • Live Oak, TX
National Provider Identifier
1316617426
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LEGACY HEART CARE OF SAN ANTONIO
Doing business as
Flow Therapy Live Oak
Flow Therapy San Antonio
Practice address
12702 Toepperwein Rd Ste 123
Live Oak, TX 78233-3278
Phone
(210) 934-4100
NPI assigned
Sep 20, 2021
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Michael Gratch
Title
President
Phone
(817) 423-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

12702 Toepperwein Rd Ste 123
Live Oak, TX 78233-3278

Mailing address

2500 West Fwy Ste 200
Fort Worth, TX 76102-5851
Phone (817) 423-4400

Other names 2

  • Flow Therapy Live Oak Doing business as
  • Flow Therapy San Antonio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818002280 TX Part B Supplier - Clinic/Group Practice 9830316645 Receives reassigned benefits from 72 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Live Oak, TX; San Antonio, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 69

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 69

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1316617426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WEST FWY STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025851",
            "telephone_number": "817-423-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 123",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333278",
            "telephone_number": "210-934-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEART CARE OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "GRATCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-423-4400"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flow Therapy Live Oak",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flow Therapy San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.