Legacy Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2261-3593 Issued in WV

Legal business name

LEGACY THERAPY SERVICES LLC

Practice address

2216 Newmans Branch Road
Rural Route 3 Box 397
Milton, WV 25541

Phone

(304) 634-1845

Fax

(304) 743-5267

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Connie Sue Boggess, MS, CTRS, OTR/LNPI 1841288438

Title

Owner

Phone

(304) 743-5267

Specialties & licenses 1

Addresses

Practitioners 1

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

• Connie Sue Boggess, CTRS,OTR/L

  • Occupational Therapist
  • Milton, WV
  • NPI 1841288438
  NPD (past) Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1588079677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 NEWMANS BRANCH ROAD",
            "address_2": "RURAL ROUTE 3 BOX 297",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "25541",
            "telephone_number": "304-743-5267",
            "fax_number": "304-743-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 NEWMANS BRANCH ROAD",
            "address_2": "RURAL ROUTE 3 BOX 397",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "25541",
            "telephone_number": "304-634-1845",
            "fax_number": "304-743-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "BOGGESS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-743-5267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CTRS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "2261-3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy M Ferguson (Serenity Day Spa)
• Tracie Lambert
• Joshua L Lapsley
• Cameron L Lasater
• Martay K Lee
• Legacy Therapy Services, LLC
• Bruce E Lemaster
• Andria F Lester
• Dawn Lewis
• Jessica D. Lewis, APRN

• Occupational Therapist in Milton, WV
• Providers in Milton, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.