Jennifer Legacy, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

040-003546 Issued in VT

Practice address

31 Middle St
Lyndonville, VT 05851

Phone

(802) 626-4224

Fax

(802) 626-5042

NPI assigned

May 27, 2006

Last updated

Jun 2, 2008By 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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Vermont Regional Hospital IncGroup PAC ID 3678481405, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northeastern Vermont Regional Hospital Inc

  dba NVRH Mental Health Group

  • Specialist
  • St Johnsbury, VT
  • NPI 1760773774
  Medicare reassignment Care Compare group NPD
• Northeastern Vermont Regional Hospital Inc

  dba NVRH Northern Physical Therapy

  • Physical Therapist
  • Lyndonville, VT
  • NPI 1821565631
  NPD
• Northeastern Vermont Regional Hospital Inc.

  dba NVRH Podiatry Clinic

  • Podiatrist
  • St Johnsbury, VT
  • NPI 1710631635
  NPD
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH Cardiology Group

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1013430511
  NPD
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH Orthopedic Group

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1326081811
  NPD
• Northeastern Vermont Regional Hospital, Inc

  dba NVRH Neurology Clinic

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1548202690
  NPD
• Dee Physical Therapy Services PLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1083773436
  NPD (past)
• Excel Physical Therapy Inc

  • Physical Therapist
  • Milton, VT
  • NPI 1982708012
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1942257977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1346",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "058511346",
            "telephone_number": "802-626-4224",
            "fax_number": "802-626-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MIDDLE ST",
            "city": "LYNDONVILLE",
            "state": "VT",
            "postal_code": "05851",
            "telephone_number": "802-626-4224",
            "fax_number": "802-626-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGACY",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VT",
            "license": "040-003546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011382",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "398447",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "65837",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT MANAGED CARE",
            "identifier": "0003546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Laferriere, SLP-CCC
• Krista Laramee, DPT
• Kaitlin A Latta, PHARMD
• Brianna Nicole Lazzaro
• Deborah Lee, LADC
• Nathaniel Timothy Lesch-Huie, MSW ROSTERED
• Lincare Inc.
• Jaime E Lipka, LICSW
• Lyndonville Dental Group PLC
• Lyndonville Family Chiropractic, Inc.

• Specialist in Lyndonville, VT
• Providers in Lyndonville, VT by specialty
• Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.