Legacy Physical Therapy & Sports Training
LBN: Legacy Healthcare Inc
Legacy Physical Therapy & Sports Training is an health care organization with primary practice located at 4134 Gulf Of Mexico Dr Suite 209, Longboat Key FL 34228-2612. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Legacy Healthcare Inc can be contacted via phone (941) 383-0414, or through Chacon, Cesar via phone (941) 302-9400.
Contact Information
Primary practice address
4134 Gulf Of Mexico Dr Suite 209
Longboat Key FL 34228-2612
Phone: (941) 383-0414
Fax: (941) 383-0120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1235183021 |
|---|---|
| LBN Legal business name | Legacy Healthcare Inc |
| DBA Doing business as | Legacy Physical Therapy & Sports Training |
| Authorized official | Chacon, Cesar |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Aug 17th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235183021 | NPPES |
| Florida | Other | 2989794 | AETNA GROUP PROVIDER NUM |
| Florida | MEDICAID | 888322000 | AETNA GROUP PROVIDER NUM |
| Florida | Other | Y919H | AETNA GROUP PROVIDER NUM |
| Florida | Other | DB5339 | AETNA GROUP PROVIDER NUM |
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