Legacy Healthcare Services, Inc - Medicare Physical Therapist in Tampa, FL

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Legacy Healthcare Services, Inc is a medicare enrolled "Physical Therapist" provider in Tampa, Florida. Their current practice location is 17470 Brookside Trace Ct, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at (813) 443-5042.

Legacy Healthcare Services, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Legacy Healthcare Services, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1336535988.

Contact Information

Legacy Healthcare Services, Inc
17470 Brookside Trace Ct,
Tampa, FL 33647-6201
(813) 443-5042
(813) 443-5771

Map and Direction




Healthcare Provider's Profile

Full NameLegacy Healthcare Services, Inc
TypeFacility
SpecialityPhysical Therapist
Location17470 Brookside Trace Ct, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336535988
  • Provider Enumeration Date: 04/10/2015
  • Last Update Date: 05/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163339722
  • Enrollment ID: O20150805009289

Medical Identifiers

Medical identifiers for Legacy Healthcare Services, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336535988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Healthcare Services, Inc acts as a billing entity for following providers:
Provider NameNanette M Ignacio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134141419
PECOS PAC ID: 3375527286
Enrollment ID: I20040617000590
Provider NamePaul Lanusse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487690467
PECOS PAC ID: 3375511579
Enrollment ID: I20040924000069
Provider NameSandra J Leach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891763785
PECOS PAC ID: 4688608995
Enrollment ID: I20050926000223
Provider NameKassondra L Macy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467448258
PECOS PAC ID: 1456442037
Enrollment ID: I20070810000646
Provider NameFrank W Foye
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093823601
PECOS PAC ID: 3779676630
Enrollment ID: I20070907000790
Provider NameWilliam F Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801843040
PECOS PAC ID: 2062438294
Enrollment ID: I20071113000108
Provider NameSonya F Hadley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003095829
PECOS PAC ID: 6800976648
Enrollment ID: I20080104000586
Provider NameCecilia Cruz Mueller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982853677
PECOS PAC ID: 4981751237
Enrollment ID: I20090402000584
Provider NamePrince E Green
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366562217
PECOS PAC ID: 7416099825
Enrollment ID: I20100123000032
Provider NameJaime L Held
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659416337
PECOS PAC ID: 7416135546
Enrollment ID: I20110621000013
Provider NameTanya M Dalce
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1811185762
PECOS PAC ID: 4082892120
Enrollment ID: I20110621000117
Provider NameMelissa Y Jeffreys
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851687156
PECOS PAC ID: 9537337936
Enrollment ID: I20110728000473
Provider NameRobin R Craver
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1659676609
PECOS PAC ID: 7517133275
Enrollment ID: I20111229000540
Provider NameKaitlyn M Zielasko
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962789925
PECOS PAC ID: 3678730306
Enrollment ID: I20120207000610
Provider NameMelissa A Reimert
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699029314
PECOS PAC ID: 7911131438
Enrollment ID: I20131016000152
Provider NamePremala T Menezes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306872403
PECOS PAC ID: 2567470404
Enrollment ID: I20131030001835
Provider NameJason C Ipo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306046560
PECOS PAC ID: 1456574185
Enrollment ID: I20140527000380
Provider NameCandace M Gallo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063645604
PECOS PAC ID: 0840512455
Enrollment ID: I20141210002114
Provider NameSocrates Navotas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497982458
PECOS PAC ID: 7012233851
Enrollment ID: I20150313000601
Provider NameLorraine S Hately
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053521443
PECOS PAC ID: 0244546687
Enrollment ID: I20150901000264
Provider NameMichele L Herbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326429473
PECOS PAC ID: 3577870112
Enrollment ID: I20150915002409
Provider NameLekha J Samuel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528234556
PECOS PAC ID: 6406927938
Enrollment ID: I20151218001187
Provider NameEmily S Maguire
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1114226487
PECOS PAC ID: 9335441252
Enrollment ID: I20160111000292
Provider NameAshley Norman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568876894
PECOS PAC ID: 9931492055
Enrollment ID: I20160727002043
Provider NameMaria M Brooks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528505716
PECOS PAC ID: 6103102223
Enrollment ID: I20170404000456
Provider NameRobin G Deo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689836462
PECOS PAC ID: 9335291228
Enrollment ID: I20170410001751
Provider NameRachel Carlton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467744839
PECOS PAC ID: 8022256643
Enrollment ID: I20170511002505
Provider NameKristina Shipman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598978116
PECOS PAC ID: 1153693585
Enrollment ID: I20170821001097
Provider NameVictoria L Richter
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306368725
PECOS PAC ID: 9032482096
Enrollment ID: I20170913002525
Provider NameJeffrey Allen Davison
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1629500962
PECOS PAC ID: 1658638242
Enrollment ID: I20171207000785
Provider NameJamie A Crowe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053821611
PECOS PAC ID: 0244598993
Enrollment ID: I20171229001527
Provider NameJanice B Delapaz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659413169
PECOS PAC ID: 8820190267
Enrollment ID: I20180124002159
Provider NameJennifer L Grasso
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821505074
PECOS PAC ID: 7719246404
Enrollment ID: I20180126000995
Provider NameAngela N West
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093206344
PECOS PAC ID: 2769738707
Enrollment ID: I20180706000151
Provider NameJoseph Anthony Hopp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649764051
PECOS PAC ID: 3375894884
Enrollment ID: I20180921003218
Provider NameNicole L Hall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669966834
PECOS PAC ID: 4880931534
Enrollment ID: I20190204001063
Provider NameAdrain M Walker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427414176
PECOS PAC ID: 0446598072
Enrollment ID: I20190206002437
Provider NameEric D Young
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407037963
PECOS PAC ID: 5991030264
Enrollment ID: I20190709000783
Provider NameDaniel Cummings
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1013219104
PECOS PAC ID: 5294062840
Enrollment ID: I20190806001376
Provider NameBeryl D Licu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225436082
PECOS PAC ID: 4981934999
Enrollment ID: I20190917004239
Provider NameDawna Dawson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275856205
PECOS PAC ID: 9739419144
Enrollment ID: I20190927002070
Provider NameJoan V Tirao
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043450323
PECOS PAC ID: 7416298302
Enrollment ID: I20191015001603
Provider NameLynn Zittel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1922440742
PECOS PAC ID: 5395177562
Enrollment ID: I20191111000859
Provider NameMichael T Villamor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205471554
PECOS PAC ID: 3274966759
Enrollment ID: I20191216000313
Provider NameMaria Margarita Pappas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922432285
PECOS PAC ID: 1557798030
Enrollment ID: I20200221001532
Provider NameCody S Williams
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1265928329
PECOS PAC ID: 7810324894
Enrollment ID: I20200304001257
Provider NameLisa Alverson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871872382
PECOS PAC ID: 4880650878
Enrollment ID: I20200323000229
Provider NameJohn O Arlington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700163144
PECOS PAC ID: 9436325321
Enrollment ID: I20200402003735
Provider NameArianne S Kosman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1962634881
PECOS PAC ID: 1456780899
Enrollment ID: I20200406000968
Provider NameHyo Young Joshua Llopiz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255977641
PECOS PAC ID: 5193146181
Enrollment ID: I20200529000607
Provider NameRachel Bouzy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1326446303
PECOS PAC ID: 2466873302
Enrollment ID: I20200602001835
Provider NameMary Kathryn Fischer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134523392
PECOS PAC ID: 0042633976
Enrollment ID: I20200709003181
Provider NameRegina M Morris
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720638869
PECOS PAC ID: 3274958616
Enrollment ID: I20200803001547
Provider NameAdam Gist
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760786891
PECOS PAC ID: 3678999612
Enrollment ID: I20200820002224
Provider NameAudrey I Matty
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629209846
PECOS PAC ID: 2062839822
Enrollment ID: I20200826000030
Provider NameOdilia Egbers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598789125
PECOS PAC ID: 1456394188
Enrollment ID: I20200904000490
Provider NameKayla D Wilcox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578170213
PECOS PAC ID: 2163842311
Enrollment ID: I20201009000625
Provider NameEmily E Nichols
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1801497334
PECOS PAC ID: 8527478155
Enrollment ID: I20201110000549
Provider NameRejennette Ordiz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437419983
PECOS PAC ID: 9830509264
Enrollment ID: I20201113000250
Provider NameBrittany M Marion
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669083523
PECOS PAC ID: 7719398999
Enrollment ID: I20201118002603
Provider NameKatie L Smith
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1154730497
PECOS PAC ID: 7416369335
Enrollment ID: I20201218000176
Provider NameAriel A Aure
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700057973
PECOS PAC ID: 5092121178
Enrollment ID: I20210316000937
Provider NameGabrielle G Atwater
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639715162
PECOS PAC ID: 1951727148
Enrollment ID: I20210317001393
Provider NameLetha D Gidharry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316027055
PECOS PAC ID: 1355512302
Enrollment ID: I20210414001939
Provider NameOtunnal O Roundtree
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700467529
PECOS PAC ID: 4385052992
Enrollment ID: I20210421000032
Provider NameChristine Sue Sartori
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467049064
PECOS PAC ID: 3274941620
Enrollment ID: I20210423000231
Provider NameChantel Nicole Yearwood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770099517
PECOS PAC ID: 0042628299
Enrollment ID: I20210428000832
Provider NameLarry D Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104078708
PECOS PAC ID: 0941619241
Enrollment ID: I20210517000644
Provider NameBryce R Cumpston
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518333020
PECOS PAC ID: 6709295033
Enrollment ID: I20210517001826
Provider NameAnne Marie Amato
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1679156343
PECOS PAC ID: 5395144661
Enrollment ID: I20210519001584
Provider NameTricia Richards
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336336171
PECOS PAC ID: 4284033077
Enrollment ID: I20210527001615
Provider NameMelissa A Reimert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699029314
PECOS PAC ID: 7911131438
Enrollment ID: I20210601000388
Provider NameTamara J Seay
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194007468
PECOS PAC ID: 5698174092
Enrollment ID: I20210603002874
Provider NameEmily Herndon
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407403785
PECOS PAC ID: 5496155392
Enrollment ID: I20210621001983
Provider NameAshley M Katers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912480179
PECOS PAC ID: 9638509094
Enrollment ID: I20210623001588
Provider NameLauren N Cumpston
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1316413891
PECOS PAC ID: 2668873464
Enrollment ID: I20210630003696
Provider NameMolly A Corse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710405659
PECOS PAC ID: 0648671446
Enrollment ID: I20210630003781
Provider NameCourtney Flores
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1447873245
PECOS PAC ID: 4981005501
Enrollment ID: I20210702000016
Provider NameNaomi R Rogne
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1447575774
PECOS PAC ID: 6002218088
Enrollment ID: I20210713003530
Provider NameWilliam B Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861914145
PECOS PAC ID: 9436551322
Enrollment ID: I20210715000230
Provider NameJacob Hurley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497337521
PECOS PAC ID: 7214330695
Enrollment ID: I20210722001608
Provider NameJon A Yarbrough
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326411406
PECOS PAC ID: 9436554821
Enrollment ID: I20210824000326
Provider NameAntonette Clapp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861067977
PECOS PAC ID: 0941605265
Enrollment ID: I20210825002226
Provider NameNicholas L Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760941306
PECOS PAC ID: 3971900069
Enrollment ID: I20210915003005
Provider NameSarah Hays
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1316560329
PECOS PAC ID: 1456758929
Enrollment ID: I20210927000391
Provider NameMarci S Lazar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952883373
PECOS PAC ID: 7810395837
Enrollment ID: I20211006000225
Provider NameLisa J Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871721621
PECOS PAC ID: 7214251016
Enrollment ID: I20211007001987
Provider NameAngela Dempster Greene
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528483351
PECOS PAC ID: 5597823302
Enrollment ID: I20211007003020
Provider NameEdwin S Bato
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376955377
PECOS PAC ID: 4486052255
Enrollment ID: I20211008000053
Provider NamePaul Guyas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275652919
PECOS PAC ID: 9537112180
Enrollment ID: I20211012000841
Provider NameHeidi Rogers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235585597
PECOS PAC ID: 1254729536
Enrollment ID: I20211020000335
Provider NameSara J Rasmussen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750057568
PECOS PAC ID: 9335537570
Enrollment ID: I20211021000411
Provider NameBruce Valencia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568941342
PECOS PAC ID: 0446648323
Enrollment ID: I20211026001802
Provider NameJanet L Thorsen
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1295818193
PECOS PAC ID: 8729477153
Enrollment ID: I20211105000520
Provider NameBritney E Knight
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629606678
PECOS PAC ID: 9931598695
Enrollment ID: I20211118000375
Provider NameOlivia P Magann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659038537
PECOS PAC ID: 0042600157
Enrollment ID: I20211203002064
Provider NameHeather Kitchens
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205341898
PECOS PAC ID: 7911398839
Enrollment ID: I20220112002177
Provider NameLisa M Evans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093074171
PECOS PAC ID: 3577727486
Enrollment ID: I20220119001235
Provider NameIman Raad
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750032975
PECOS PAC ID: 0648662973
Enrollment ID: I20220119001577
Provider NameCharo Revita
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598426983
PECOS PAC ID: 3971996786
Enrollment ID: I20220131000493
Provider NameLori Broderick
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1295868909
PECOS PAC ID: 0749548618
Enrollment ID: I20220204001461
Provider NameMarina Kurgansky
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1487997946
PECOS PAC ID: 4688952286
Enrollment ID: I20220204001788
Provider NameJordan N Powers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851893697
PECOS PAC ID: 3375936727
Enrollment ID: I20220207001390
Provider NameDanielle S Livingstone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891454625
PECOS PAC ID: 4981097052
Enrollment ID: I20220214000841
Provider NamePriya Mistry
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1255005815
PECOS PAC ID: 2466846639
Enrollment ID: I20220303002773
Provider NameStacie L Martin
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1730419524
PECOS PAC ID: 3870868011
Enrollment ID: I20220319000120
Provider NameElizabeth T Beck
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1831715093
PECOS PAC ID: 0648665091
Enrollment ID: I20220321002647
Provider NameSuzanne Caitlin Ball
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1003434242
PECOS PAC ID: 3274928650
Enrollment ID: I20220322001039
Provider NameKate P Bracken
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1780337246
PECOS PAC ID: 1355737768
Enrollment ID: I20220412002947
Provider NameLynn R Musselman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194393553
PECOS PAC ID: 6204222490
Enrollment ID: I20220418000286
Provider NameRandi E Railsback
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1871118000
PECOS PAC ID: 9335536283
Enrollment ID: I20220425001515
Provider NameRobert A Bell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1811560923
PECOS PAC ID: 3375930225
Enrollment ID: I20220425001744
Provider NameAnna F Belson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639765324
PECOS PAC ID: 9133516859
Enrollment ID: I20220428000247
Provider NameTeresa Ryan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336370568
PECOS PAC ID: 7810384534
Enrollment ID: I20220428000419
Provider NameJudith M Tindall
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497416101
PECOS PAC ID: 5092102319
Enrollment ID: I20220504002686
Provider NameCharlotte D Grant
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1073256749
PECOS PAC ID: 4183011471
Enrollment ID: I20220505001805
Provider NameMary B Walker
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649915661
PECOS PAC ID: 2163809971
Enrollment ID: I20220517002508
Provider NameKayla M Vengen Calabro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861000531
PECOS PAC ID: 8224415054
Enrollment ID: I20220517003155
Provider NameAshley S Pride
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457959538
PECOS PAC ID: 0840677415
Enrollment ID: I20220519002905
Provider NameVivienne C Baker
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093308660
PECOS PAC ID: 5496162059
Enrollment ID: I20220615002120
Provider NameKylie Odparlik
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578292827
PECOS PAC ID: 1254710601
Enrollment ID: I20220615002540
Provider NameKatherine L Fiaoni
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Enrollment ID: I20240319003172
Provider NameJeanna Lim Wee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326817479
PECOS PAC ID: 6406293323
Enrollment ID: I20240327000471
Provider NameSusan Elizabeth Gaynor
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1699907212
PECOS PAC ID: 5395183743
Enrollment ID: I20240403003600
Provider NameSusan Ann Davis-dimeo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174205454
PECOS PAC ID: 7416395397
Enrollment ID: I20240411000522
Provider NameDadlynn Exavier
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1891097523
PECOS PAC ID: 7618317322
Enrollment ID: I20240429002081
Provider NameKristen Renee Suraci
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1891542445
PECOS PAC ID: 7012359524
Enrollment ID: I20240530000253
Provider NameThomas Alexander Marnejon
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1346094661
PECOS PAC ID: 2264974575
Enrollment ID: I20240601000544
Provider NameNicole Samaroo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770150864
PECOS PAC ID: 6204379662
Enrollment ID: I20240613004237

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Legacy Healthcare Services, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Healthcare Services, Inc
110 Horizon Dr Ste 310,
Raleigh, NC 27615-4926

Ph: (919) 424-5080		Legacy Healthcare Services, Inc
17470 Brookside Trace Ct,
Tampa, FL 33647-6201

Ph: (813) 443-5042

Reviews and Comments


Physical Therapist in Tampa, FL

Mary Cathleen Brooke, PHYSICAL THERAPIST
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626
Phone: 866-568-9068    Fax: 866-360-5916
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 11812 N 56th St, Tampa, FL 33617
Phone: 813-857-7800    Fax: 813-988-5837
Eleanor Innocent, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613
Phone: 813-615-7200    
Sara Brett, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609
Phone: 407-833-8815    
Kristen Webbers,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609
Phone: 866-839-6979    
Sophia Prassas,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609
Phone: 866-839-6979    
Jamie Birmingham, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609
Phone: 866-839-6979    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.