Legacy Orthopedic Rehab LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

LEGACY ORTHOPEDIC REHAB LLC

Practice address

2462 Highway 34 E Ste E
Newnan, GA 30265-2378

Phone

(229) 886-7400

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Joshua SmithNPI 1588219695

Title

Owner/Physical Therapist

Phone

(229) 886-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 6

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

• Joshua Chase Smith, PT, DPT

  • Physical Therapist
  • Newnan, GA
  • NPI 1588219695
  Medicare reassignment Care Compare group NPD Authorized official
• Amari Black

  • Physical Therapist
  • Carrollton, GA
  • NPI 1497627897
  Medicare reassignment Care Compare group NPD
• Robert McNeal

  • Physical Therapist
  • Newnan, GA
  • NPI 1043027816
  Medicare reassignment Care Compare group NPD
• Makayla Herrera

  • Physical Therapist
  • Newnan, GA
  • NPI 1528576360

  Single Specialty

  Medicare reassignment NPD
• Tristen Lee Patterson

  • Physical Therapist
  • Tallassee, AL
  • NPI 1275052920
  Care Compare group
• Deanna Saunders, DPT

  • Physical Therapist
  • Newnan, GA
  • NPI 1780519348
  NPD (past)

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1679264659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 HICKORY HILLS DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636343",
            "telephone_number": "229-886-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 HIGHWAY 34 E STE E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652378",
            "telephone_number": "229-886-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY ORTHOPEDIC REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "229-886-7400"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leech Pharmacy, LLC
• Margaret Mann Leech, PHARMD
• Jasnith Jacqueline Leetom, MASTERS
• Mikala Anne Legako, PSYD
• Eric Legault, B.S., D.C, C.S.C.S
• Dereje Seyoum Legesse, MD
• Cynthia Correll Leggett, BSPHARM
• Wesley L. Leigh, M.D.

• Orthopedic Physical Therapist in Newnan, GA
• Providers in Newnan, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.