NPIMap

Organization Active NPI

Legacy Healhcare Services, Inc.

  • Physical Therapy Clinic/Center
  • Winter Haven, FL
National Provider Identifier
1528501178
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 04827 Issued in FL
Legal business name
LEGACY HEALHCARE SERVICES, INC.
Practice address
3050 Woodmont Ave
Winter Haven, FL 33884-3800
Phone
(863) 875-6584
NPI assigned
Nov 30, 2016
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Rose Carter
Title
Credentialing Specialist
Phone
(919) 327-9674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 04827 FL Primary

Addresses

Primary practice location

3050 Woodmont Ave
Winter Haven, FL 33884-3800

Mailing address

3050 Woodmont Ave
Winter Haven, FL 33884-3800

National Provider Directory

National Provider Directory
Tax ID family
Legay Healthcare SVCS Inc61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1528501178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 WOODMONT AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 WOODMONT AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843800",
            "telephone_number": "863-875-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "919-327-9674"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT 04827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.