NPIMap

Organization Active NPI

Legacy Therapy Center Inc.

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1609162486
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LEGACY THERAPY CENTER INC.
Practice address
5633 S Staples St
Suite # 400
Corpus Christi, TX 78411-4646
Phone
(361) 855-1345
Fax
(361) 855-0064
NPI assigned
Jun 21, 2011
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Mr. Ambrose Hernandez
Title
Ceo/Owner
Phone
(361) 855-1345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5633 S Staples St
Suite # 400
Corpus Christi, TX 78411-4646

Mailing address

PO Box 61140
Corpus Christi, TX 78466-1140
Phone (361) 855-1345

National Provider Directory

National Provider Directory

Locations

5633 S Staples St
Ste 400
Corpus Christi, TX 78411
Phone (361) 855-1345

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1609162486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61140",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784661140",
            "telephone_number": "361-855-1345",
            "fax_number": "361-855-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 S STAPLES ST",
            "address_2": "SUITE # 400",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114646",
            "telephone_number": "361-855-1345",
            "fax_number": "361-855-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY THERAPY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "361-855-1345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

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