Jenny Lewellen Vaz, DPT, CPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20118 Issued in NC

Practice address

500 E Rhode Island Ave
Southern Pines, NC 28387-4010

Phone

(206) 851-1309

NPI assigned

Apr 20, 2015

Last updated

Mar 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Durham, NC
  • NPI 1104823400
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1801283510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W IOWA AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875814",
            "telephone_number": "206-851-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E RHODE ISLAND AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874010",
            "telephone_number": "206-851-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLEN VAZ",
        "first_name": "JENNY",
        "credential": "DPT, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Lee
• Legacy Healthcare Services, Inc (Legacy Healthcare at Southern Pines)
• Alice Brooke Leis, PT
• Joy Marie Lemieux, MA LPC
• Angela Somers Leonard, MS CCC SLP
• Liberty Anesthesia, PLLC
• Liberty Healthcare Group, LLC (Liberty Home Care II, LLC)
• Liberty Healthcare Group, LLC (Liberty Home Care II, LLC)
• Liberty Nursing Services II, LLC (Liberty Nursing Services)
• Life Wellness Counseling PLLC

• Physical Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.