Active NPI
Legacy Healthcare Services Inc.
- Physical Therapist
- Lexington, SC
National Provider Identifier
1710504741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LEGACY HEALTHCARE SERVICES INC.
- Practice address
- 487 Highway 378
Lexington, SC 29072-9177 - Phone
- (888) 239-3467
- NPI assigned
- Jun 25, 2020
- 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
- William G Wilson Jr.
- Title
- Cfo
- Phone
- (919) 424-4312
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
487 Highway 378
Lexington, SC 29072-9177
Mailing address
110 Horizon Dr Ste 310
Raleigh, NC 27615-4926
Phone (910) 724-7770
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631059200000",
"number": "1710504741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HORIZON DR STE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154926",
"telephone_number": "910-724-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 HIGHWAY 378",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729177",
"telephone_number": "888-239-3467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTHCARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-25",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "919-424-4312",
"authorized_official_name_suffix": "Jr."
},
"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 Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.