Andrea Michelle Legg, PT, DPT, M.ED., ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035863 Issued in NY

Practice address

4107 W Genesee St Ste 300
Syracuse, NY 13219-1952

Phone

(315) 635-5000

Fax

(315) 492-1203

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Orthopaedic Surgery Associates PA

  • Orthopaedic Surgery Physician
  • Boynton Beach, FL
  • NPI 1104865088
  NPD
• Orthopaedic Surgery Associates, PA

  • Durable Medical Equipment & Medical Supplies
  • Boynton Beach, FL
  • NPI 1285316414
  NPD
• FLH Medical, PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1215174644
  NPD (past)
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Baldwinsville, NY
  • NPI 1548367139
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1396889747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 ELLINGTON CT",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312058",
            "telephone_number": "315-787-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 W GENESEE ST STE 300",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191952",
            "telephone_number": "315-635-5000",
            "fax_number": "315-492-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5849 E Circle Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "130398654",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-458-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGG",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, M.ED., ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "020102321",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan H Leeson, M.D.
• Jessica Lynn Lefebvre, M.D.
• Meryl Lefkowicz, NP
• Brianna K Leger
• Lori A Legere, RRT
• Christina Talev Legg, DPT
• Kacie Lawler Legg, OTRL
• John E Leggat Jr., MD
• Mary Elizabeth Lehan
• Courtney Lehman

• Physical Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.