Active NPI
Jairah Legarde, PT
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1679775993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA009873
- Practice address
- 4532 Stonewall Dr
Raleigh, NC 27604-5056 - Phone
- (201) 920-2311
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 40QA009873 | NJ | Primary |
Addresses
Primary practice location
4532 Stonewall Dr
Raleigh, NC 27604-5056
Mailing address
4532 Stonewall Dr
Raleigh, NC 27604-5056
Phone (201) 920-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA009873 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1679775993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4532 STONEWALL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276045056",
"telephone_number": "201-920-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4532 STONEWALL DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276045056",
"telephone_number": "201-920-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGARDE",
"first_name": "JAIRAH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA009873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.