Legacy Healthcare Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEGACY HEALTHCARE SERVICES INC

Practice address

6251 Overton Ridge Blvd
Fort Worth, TX 76132-3755

Phone

(817) 945-1586

NPI assigned

Jan 5, 2021

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William G Wilson Jr.

Title

Chief Financial Officer

Phone

(919) 424-5080

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357

  O20170201001261

  Same enrollment

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Genelda Marie Alfred, OTR/L

  • Occupational Therapist
  • Humble, TX
  • NPI 1265913677
  NPD
• Kayla Shantell Allen, OTR/L

  • Occupational Therapist
  • Pearland, TX
  • NPI 1245970904
  NPD
• Dawn Leatherby Araujo, OT

  • Occupational Therapist
  • Lewisville, TX
  • NPI 1942711510
  NPD
• Rachael Elizabeth Brown Crumrine, PT, DPT

  • Physical Therapist
  • Denton, TX
  • NPI 1710593439
  NPD
• Ravina Desai, OTD, OTR/L

  • Occupational Therapist
  • McKinney, TX
  • NPI 1730782293
  NPD
• Shruthy Jacob

  • Speech-Language Pathologist
  • Denison, TX
  • NPI 1992274179
  NPD
• Kelly M Mason

  • Speech-Language Pathologist
  • Justin, TX
  • NPI 1730756412
  NPD
• Orit Pacht, OTR

  • Pediatric Occupational Therapist
  • Richardson, TX
  • NPI 1437337722
  NPD
• Elaine Santos, P.T.

  • Physical Therapist
  • Katy, TX
  • NPI 1962526830
  NPD
• Tamara D Wagner, OTR

  • Occupational Therapist
  • Denton, TX
  • NPI 1528254778
  NPD
• Megan Nicole Wurth, DPT

  • Physical Therapist
  • Dallas, TX
  • NPI 1326779638
  NPD
• Brian Mustico, MS OTR/L

  • Occupational Therapist
  • Elmira, NY
  • NPI 1144594946
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1790373785",
    "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": "984-308-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 OVERTON RIDGE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323755",
            "telephone_number": "817-945-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-424-5080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lefan
• Regina Leffingwell, PT
• Destyne Etienne Leflore
• Jessica Marie Leflore, LPC
• Legacy Care Centers, Inc. (Sycamore Care Center)
• Legacy Healthcare Services, Inc.
• Legacy Heart Care Inc
• Legacy Heart Care Inc
• Legacy Heart Care of Fort Worth LLC
• Legacy Heart Care of Fort Worth, LLC (Flow Therapy Fort Worth)

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.