Organization Active NPI

Legacy Healthcare Services, Inc.

  • Physical Therapy Clinic/Center
  • Raleigh, NC
National Provider Identifier
1457768335
Registry record updated Jul 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
A4436 Issued in NC
Legal business name
LEGACY HEALTHCARE SERVICES, INC.
Practice address
7900 Creedmoor Rd
Raleigh, NC 27613-4382
Phone
(919) 651-4882
NPI assigned
Jul 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2014

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

Authorized official

Name
Angela Grant, GENERAL COUNSEL
Title
VP Human Resources
Phone
(919) 424-5086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X A4436 NC Primary

Addresses

Primary practice location

7900 Creedmoor Rd
Raleigh, NC 27613-4382

Mailing address

3001 Spring Forest Rd
Raleigh, NC 27616-2815
Phone (919) 424-5080

National Provider Directory

National Provider Directory
Tax ID family
Legacy61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405123200000",
    "number": "1457768335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162815",
            "telephone_number": "919-424-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134382",
            "telephone_number": "919-651-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-12",
        "last_updated": "2014-07-12",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VP HUMAN RESOURCES",
        "authorized_official_telephone_number": "919-424-5086",
        "authorized_official_credential": "GENERAL COUNSEL"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "A4436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; 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.