Legacy Physical Therapy & Sports Training

LBN: Legacy Healthcare Inc
Legacy Physical Therapy & Sports Training is an health care organization with primary practice located at 834 Pinebrook Rd , Venice FL 34285-7123. 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) 484-8107, or through Chacon, Cesar via phone (941) 302-9400.

Contact Information

Primary practice address
834 Pinebrook Rd Venice FL 34285-7123
Phone: (941) 484-8107
Fax: (941) 484-5186
Website:
Map and Directions
Authorized official contact:
Name: Chacon, Cesar
Phone: (941) 302-9400

Health care specialties

SpecialtyCodeLicense #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 1972556017
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 18th, 2006
Last updated Jul 31st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972556017 NPPES
Florida Other Y901X BCBS FACILITY NUMBER
Florida Other 2989794 BCBS FACILITY NUMBER
Florida MEDICAID 888322000 BCBS FACILITY NUMBER

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