Individual provider Active NPI

Tracey Ann Legrand, P.T, M.S.

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1679594451
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3742 Issued in KY
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

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20061106000433 KY Practitioner - Physical Therapist in Private Practice 1153328067 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
3742KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Pelvic Health and Wellness, PLLC Physical Therapist CurrentSince Oct 1, 2015 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.

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.

Verify at the official NPI Registry.