Legacy Healthcare Services Inc
NPI 1740820828ActiveOrganization· Physical Therapist· Roanoke, VA
Physical Therapist in Roanoke, Virginia, registered in NPPES in January 2020. The authorized official on file is William G. Wilson, Chief Financial Officer. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1740820828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2020 |
| Last updated in NPPES | Jan 7, 2020 |
| Certified by provider | Jan 7, 2020 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (VA) |
|---|
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