Gino Dizon Legaspi, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10822 Issued in CA

Practice address

751 S Bascom Ave
San Jose, CA 95128-2604

Phone

(408) 885-4342

NPI assigned

Jun 11, 2020

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1992320386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 WENDOVER LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211465",
            "telephone_number": "510-378-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "GINO",
        "middle_name": "DIZON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "10822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "10822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Assisted Corporation
• Legacy Healthcare Partners LLC
• Legacy Living Care L, LLC
• Christian Legaspi
• Cierilyn Legaspi
• Michael Andrew Legaspi
• Kathleen L Leger
• Arielle Leggett
• Saniya Renae Leggett
• Arlen Legomski

• Physical Therapy Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.