Legacy Healthcare Services, Inc.
NPI 1790293983ActiveOrganization· Physical Therapist· Mishawaka, IN
Physical Therapist in Mishawaka, Indiana, registered in NPPES in January 2018. The authorized official on file is William Gil Wilson, Cfo.
Overview
| NPI | 1790293983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2018 |
| Last updated in NPPES | Jun 10, 2022 |
| Certified by provider | Jun 10, 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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