Legendary Physical Therapy LLC
NPI 1578089983ActiveOrganization· Physical Therapist· Pensacola, FL
Physical Therapist in Pensacola, Florida, registered in NPPES in August 2017. The authorized official on file is Louie Watkins, PT, DPT, COMT, Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578089983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2017 |
| Last updated in NPPES | Jan 24, 2025 |
| Certified by provider | Jan 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Physical Therapist providers in Pensacola
- 1447827902
- 1255002382
- 1932815644
- 1639662729
- 1245920271
- 1477378164
- 1770222069
- 1447236674
- 1891313011
- 1528711603
- 1619881257
- 1558073866