Organization Active NPI

Legacy Healthcare

  • Physical Therapy Clinic/Center
  • Tarboro, NC
National Provider Identifier
1497051049
Registry record updated Jan 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3284 Issued in NC
Legal business name
LEGACY HEALTHCARE
Practice address
200 Trade St
Tarboro, NC 27886-5055
Phone
(252) 823-8100
Fax
(252) 823-7800
NPI assigned
Jan 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2011

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

Authorized official

Name
Mrs. Amy Cox Marlow
Title
Pta
Phone
(252) 813-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3284 NC Primary

Addresses

Primary practice location

200 Trade St
Tarboro, NC 27886-5055

Mailing address

200 Trade St
Tarboro, NC 27886-5055
Phone (252) 823-8100

National Provider Directory

National Provider Directory

Locations

200 Trade St
Tarboro, NC 27886
Phone (252) 823-2799

NPI Registry JSON

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

{
    "created_epoch": "1296345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296345600000",
    "number": "1497051049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRADE ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865055",
            "telephone_number": "252-823-8100",
            "fax_number": "252-823-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRADE ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865055",
            "telephone_number": "252-823-8100",
            "fax_number": "252-823-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-30",
        "last_updated": "2011-01-30",
        "status": "A",
        "authorized_official_last_name": "MARLOW",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "252-813-7755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2011; 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.