Legacy Healthcare Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2251500000 Issued in CO

Legal business name

LEGACY HEALTHCARE INC.

Practice address

1608 29TH Ave
Greeley, CO 80634-5720

Phone

(970) 590-3948

NPI assigned

Aug 18, 2009

Organization subpart

Yes

Parent organization

LEGACY HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Mr. Rudolfo Mendez

Title

Physical Therapy Assistant

Phone

(970) 590-3948

Specialties & licenses 1

Addresses

Part of

Legacy

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1649402108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 29TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345720",
            "telephone_number": "970-590-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 29TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345720",
            "telephone_number": "970-590-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY HEALTHCARE",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "RUDOLFO",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "970-590-3948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "2251500000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Lee, MD
• Matthew Lee, D.D.S.
• Siemay Chang Lee, MD
• Audrey Celine Lefler, B.S., D.C.
• Luisa Romeiro Lefors
• Rachel Clair Leibold
• Sarah Elizabeth Leisher
• Katelin Lemahieu, MA., CCC-SLP
• Salmin Lenhart
• Sarah Lenneman, P.T., D.P.T.

• Physical Therapy Clinic/Center in Greeley, CO
• Providers in Greeley, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.