Active NPI
Legacy Healthcare Services Inc
- Physical Therapist
- Augusta, GA
National Provider Identifier
1679055511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LEGACY HEALTHCARE SERVICES INC
- Practice address
- 3725 Wheeler Rd
Augusta, GA 30909-6623 - Phone
- (706) 364-3325
- NPI assigned
- Sep 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra M Hoskins
- Title
- Ceo
- Phone
- (919) 424-5080
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
3725 Wheeler Rd
Augusta, GA 30909-6623
Mailing address
3001 Spring Forest Rd Ste 101
Raleigh, NC 27616-2816
Phone (919) 424-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190109001373 | GA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 2163339722 | Practice locations: Augusta, GA |
Outpatient physical therapy / speech pathology certification: CCN 116907
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LEGACY HEALTHCARE SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Jun 6, 2019
- Last certification
- May 25, 2022
- Ownership / control type
- Proprietary
- Facility address
- 3725 Wheeler Road
Augusta, GA 30909
National Provider Directory
National Provider Directory- Tax ID family
- Legacy
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Physical Therapist
- Gainesville, GA
- NPI 1376135293
-
- Physical Therapist
- Rome, GA
- NPI 1558938159
-
- Physical Therapist
- Palmetto, GA
- NPI 1942842919
-
- Physical Therapist
- Dawsonville, GA
- NPI 1528419751
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Windsor Point Inc CCRC | Skilled nursing facility | Adp of the SNF | Jul 1, 2011 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536192000000",
"number": "1679055511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SPRING FOREST RD STE 101",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162816",
"telephone_number": "919-424-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096623",
"telephone_number": "706-364-3325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTHCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A",
"authorized_official_last_name": "HOSKINS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-424-5080"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.