Legacy Healthcare Services Inc
NPI 1710637582ActiveOrganization· Physical Therapist· South Jordan, UT
Physical Therapist in South Jordan, Utah, registered in NPPES in March 2022. The authorized official on file is William G. Wilson, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710637582 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2022 |
| Last updated in NPPES | Mar 25, 2022 |
| Certified by provider | Mar 25, 2022 |
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 · 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 (UT) |
|---|
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