Legacy Healthcare Services Inc
NPI 1912574583ActiveOrganization· Physical Therapist· Oviedo, FL
Physical Therapist in Oviedo, Florida, registered in NPPES in June 2021. The authorized official on file is Wilson Gil Wilson, Chief Financial Officer. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services.
Overview
| NPI | 1912574583 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2021 |
| Last updated in NPPES | Aug 6, 2021 |
| Certified by provider | Aug 6, 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 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 A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (FL) |
|---|
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