Legacy Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTA5605 Issued in AL

Legal business name

LEGACY PHYSICAL THERAPY, INC

Practice address

3825 Sullivan Street
Suite 2
Madison, AL 35747-3147

Phone

(256) 325-2130

Fax

(256) 325-2142

NPI assigned

May 31, 2018

Last updated

Jul 30, 2019By 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

Norman Gary Stinnett, LPTA

Title

Manager / Pta

Phone

(256) 325-2130

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

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.

• Jasmine C Felder, PT, DPT

  • Physical Therapist
  • Huntsville, AL
  • NPI 1982150132
  Medicare reassignment NPD
• Jalin R. Langjahr, DPT

  • Physical Therapist
  • Anderson, SC
  • NPI 1881499028
  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1831681410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 SULLIVAN STREET",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357493147",
            "telephone_number": "256-325-2130",
            "fax_number": "256-325-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 SULLIVAN STREET",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357473147",
            "telephone_number": "256-325-2130",
            "fax_number": "256-325-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "STINNETT",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "MANAGER / PTA",
        "authorized_official_telephone_number": "256-325-2130",
        "authorized_official_credential": "LPTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTA5605",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy N Ledbetter
• Cynthia Ross Ledford, RPH
• Erin Whitley Lee, FNP-BC
• Rachel Lee
• Legacy Health Chiropractic, LLC (Legacy Health Chiropractic)
• Leonard W Martinec MD PC
• Leslie Smith LPC LLC
• Natosha Renee Lessley
• Alice Elizabeth Lessmann, RN, BSN, CRNP, RNFA
• Erin Letson, LMSW

• Physical Therapy Clinic/Center in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.