Legacy Therapy Services, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

1239 Issued in WV

Legal business name

LEGACY THERAPY SERVICES, LLC

Practice address

2216 Newmans Branch Road
Milton, WV 25541-0102

Phone

(304) 743-5267

Fax

(304) 743-5267

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

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

Title

Owner/Occupational Therapist

Phone

(304) 634-1845

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": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1609235852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "address_2": "2216 NEWMANS BRANCH ROAD",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255410102",
            "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",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255410102",
            "telephone_number": "304-743-5267",
            "fax_number": "304-743-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "BOGGESS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "304-634-1845",
        "authorized_official_credential": "MS, CTRS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WV",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Jonathon W Lewis

• Rehabilitation Clinic/Center in Milton, WV
• Providers in Milton, WV by specialty
• Rehabilitation Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.