Legacy Physicians Group, LLC

Primary specialty

Rehabilitation Clinical Nurse SpecialistTaxonomy code 364SR0400X

Legal business name

LEGACY PHYSICIANS GROUP, LLC

Practice address

7460 Warren Pkwy
160
Frisco, TX 75034

Phone

(972) 668-5400

Fax

(972) 668-5401

NPI assigned

Dec 19, 2012

Organization subpart

No

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

Authorized official

Name

Vivek Sastry

Title

Owner/President

Phone

(972) 668-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Legacy Physicians Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Physicians Group

  • Adult Health Nurse Practitioner
  • Frisco, TX
  • NPI 1124361506
  NPD tax ID
• Legacy Physicians Group, LLC

  • Skilled Nursing Facility
  • Frisco, TX
  • NPI 1164724621
  NPD tax ID

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1356687362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 WARREN PKWY",
            "address_2": "160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-668-5400",
            "fax_number": "972-668-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 WARREN PKWY",
            "address_2": "160",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-668-5400",
            "fax_number": "972-668-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "SASTRY",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-668-5400"
    },
    "taxonomies": [
        {
            "code": "364SR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790980",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Foot and Ankle Specialists
• Legacy Internal Medicine, PLLC
• Legacy Physicians Group
• Legacy Physicians Group Florida LLC
• Legacy Physicians Group, LLC
• Legacy Respiratory Care & Medical Equipment Inc
• Legacy Surgery Center of Frisco LP
• Legacy Texas Anesthesia PLLC
• Legacy Trails Therapy, PLLC
• Legacy Urgent Care, PA

• Rehabilitation Clinical Nurse Specialist in Frisco, TX
• Providers in Frisco, TX by specialty
• Rehabilitation Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.