Legendary Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEGENDARY PHYSICAL THERAPY LLC

Practice address

410 N Palafox St
Pensacola, FL 32501-3919

Phone

(850) 332-7681

Fax

(850) 512-1188

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Louie Watkins III, PT, DPT, COMTNPI 1568589588

Title

Physical Therapist

Phone

(850) 380-4377

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Legendary Physical Therapy and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Louie Watkins III

  • Physical Therapist
  • Pensacola, FL
  • NPI 1568589588
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Gist, DPT

  • Physical Therapist
  • Pensacola, FL
  • NPI 1760786891
  Medicare reassignment Care Compare group NPD
• Micaela Angela Mendietta

  • Physical Therapist
  • Pensacola, FL
  • NPI 1487373544
  Medicare reassignment NPD
• Elawnto Reggie Williams, MBA, PTA, CSCS

  • Physical Therapy Assistant
  • Pensacola, FL
  • NPI 1225215916
  NPD (past)

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1578089983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6568",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325030568",
            "telephone_number": "850-478-1312",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013919",
            "telephone_number": "850-332-7681",
            "fax_number": "850-512-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGENDARY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "850-380-4377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT, DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022219700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUIE WATKINS III NPI NUMBER",
            "identifier": "1568589588",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legendary Physical Therapy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Licheng Lee, M.D.
• Robyn Lee
• Sitembile Lee, DO
• Legacy Healthcare Services Inc
• Candice Legault
• Ashley Leggett
• Marilyn Faye Legrand, COTA/L
• Shawn Legrand
• Mallorie Anne Lehman
• Paige Anne Lehmann, ATC

• Physical Therapist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.