Legacy Healthcare Services Massachusetts LLC
NPI 1962108761ActiveOrganization· Physical Therapist· Westborough, MA
Physical Therapist in Westborough, Massachusetts, registered in NPPES in February 2023. The authorized official on file is William Gil Wilson, Cfo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1962108761 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2023 |
| Last updated in NPPES | Feb 2, 2023 |
| Certified by provider | Feb 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapy Assistant | 224Z00000X | — | — |
| 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 - Physical/Occupational Therapy Group in Private Practice (MA) |
|---|
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