Legacy Health Care Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2006006973 Issued in MO

Legal business name

LEGACY HEALTH CARE SERVICES

Practice address

45 E Lockwood Ave
Webster Groves, MO 63119-3050

Phone

(314) 200-2664

NPI assigned

May 1, 2015

Last updated

May 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Connie Scott Justice, P.T.A.

Title

Physical Therapist Assistant

Phone

(314) 971-8626

Specialties & licenses 1

Addresses

Tax ID family

Legacy Healthcare Services61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Kansas City, MO
  • NPI 1457758252
  NPD tax ID

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1427435163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 ITASKA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093117",
            "telephone_number": "314-971-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E LOCKWOOD AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193050",
            "telephone_number": "314-200-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "314-971-8626",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2006006973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Lamping
• Suzanne A Landis, LCSW
• Laura E Landon, OTD
• Amy Larue, DACM, LAC
• Laura's Therapeutic Solutions LLC
• Laura Lewis, LCSW
• Life in Balance STL
• Life Transitions Counseling LLC
• Karen Andre Loaiza, PH.D.
• Lockwood Chiropractic Offices, P.C.

• Physical Therapy Clinic/Center in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.