Active NPI
Tracey Ann Legrand, P.T, M.S.
- Physical Therapist
- Lexington, KY
National Provider Identifier
1679594451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3742
- Practice address
- 1795 Alysheba Way
Suite 5102
Lexington, KY 40509-2280 - Phone
- (859) 543-0319
- Fax
- (859) 543-2895
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3742 | KY | Primary |
Addresses
Primary practice location
1795 Alysheba Way
Suite 5102
Lexington, KY 40509-2280
Mailing address
1795 Alysheba Way
Suite 5102
Lexington, KY 40509-2280
Phone (859) 543-0319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Kentucky College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 Glensboro Rd
Suite 7
Lawrenceburg, KY 40342-9084
Phone (859) 543-0319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3742 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Pelvic Health and Wellness, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1100 Glensboro Rd
Ste 7
Lawrenceburg, KY 40342
Phone (859) 543-0319
1795 Alysheba Way
Ste 5102
Lexington, KY 40509
Phone (859) 543-0319
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lawrenceburg, KY
- NPI 1356693816
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1679594451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 ALYSHEBA WAY",
"address_2": "SUITE 5102",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092280",
"telephone_number": "859-543-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 ALYSHEBA WAY",
"address_2": "SUITE 5102",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092280",
"telephone_number": "859-543-0319",
"fax_number": "859-543-2895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGRAND",
"first_name": "TRACEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T, M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "3742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.