Legacy Orthopaedics

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LEGACY ORTHOPAEDICS

Practice address

7000 SW 62ND Ave Ste 330
South Miami, FL 33143-4717

Phone

(786) 238-7402

Fax

(215) 330-4808

NPI assigned

Nov 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Thomas D. Riley IV, MDNPI 1558681817

Title

Ceo/Physician

Phone

(786) 845-6645

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Thomas Daley Riley IV, MD

  • Orthopaedic Surgery Physician
  • South Miami, FL
  • NPI 1558681817
  Medicare reassignment NPD Authorized official
• Octavio Daniel Marin

  • Physician Assistant
  • South Miami, FL
  • NPI 1548075328
  NPD

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1942801600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 330",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434717",
            "telephone_number": "215-919-0419",
            "fax_number": "215-330-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 330",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434717",
            "telephone_number": "786-238-7402",
            "fax_number": "215-330-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 W 20th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161813",
            "country_code": "US",
            "telephone_number": "786-238-7402",
            "fax_number": "215-330-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "786-845-6645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117862500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medical@legacyorthopaedics.net",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7000 SW 62nd Ave Ste 330",
            "city": "South Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331434717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric K Lebbeney-Bandar, D.O., MSC
• Andre Christian Ledoux, DMD
• Clarice Angelica Lee, MT-BC
• Hayoung Lee
• Rosemary Koehl Lee, ARNP
• Deborah Lyn Leiter, RPT
• Lynley R Leithead, MD
• Orlando Enrique Leiva, M.D.
• Vicki Lemaster
• Alexandra Leon

• Orthopaedic Surgery Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.