Legacy Healthcare Services

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

861 Issued in NC

Legal business name

LEGACY HEALTHCARE SERVICES

Practice address

111 Harrilson Rd
Cherryville, NC 28021-9541

Phone

(704) 435-0108

Fax

(704) 435-4982

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By 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

Maria Pruitt, DPT

Title

Rd

Phone

(704) 435-0108

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Lesa Parker, LPTA

  • Physical Therapy Assistant
  • Cherryville, NC
  • NPI 1346661576
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1831523570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 HARMON RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280921776",
            "telephone_number": "704-913-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HARRILSON RD",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280219541",
            "telephone_number": "704-435-0108",
            "fax_number": "704-435-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "704-435-0108",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JFC Meridian Opco - Cherryville, LLC (Somerset Court of Cherryville)
• Leila Orvokki Joyce, P.T.
• Kendall Brooke Keil, DPT
• Kerr Drug Inc (Kerr Drug)
• Halie J Leatherman, DNP, FNP-C
• Robin Melissa Lingerfeldt-Mower, PTA
• Katelin Fox Lowe, PT, DPT
• Lauren Anne Lubejko, PA
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)

• Physical Therapy Assistant in Cherryville, NC
• Providers in Cherryville, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.