Legacy Healthcare Services Inc
NPI 1376135293ActiveOrganization· Physical Therapist· Gainesville, GA
Physical Therapist in Gainesville, Georgia, registered in NPPES in February 2021. The authorized official on file is William Gil Wilson, Chief Financial Officer. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services.
Overview
| NPI | 1376135293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2021 |
| Last updated in NPPES | Feb 11, 2021 |
| Certified by provider | Feb 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (GA) |
|---|
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