LEGACY HEALTHCARE SERVICES
NPI 1043580129
Occupational Therapist in Charlotte, NC

NPI Status: Active since January 06, 2012

Contact Information

5114 PROVIDENCE RD
CHARLOTTE, NC
ZIP 28226
Phone: (704) 365-5252

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  • Organization
  • Occupational Therapist

About LEGACY HEALTHCARE SERVICES

This page provides the complete NPI Profile along with additional information for Legacy Healthcare Services, a provider established in Charlotte, North Carolina operating as a Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1043580129 assigned on January 2012. The practitioner's primary taxonomy code is 225X00000X with license number 7683 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jacqueline Trill Ms,otr/l (Occupational Therapist)

NPI
1043580129
Provider Name
LEGACY HEALTHCARE SERVICES
Entity Type
Organization
Location Address
5114 PROVIDENCE RD CHARLOTTE, NC 28226
Location Phone
(704) 365-5252
Mailing Address
4626 COLONY ROAD APT I CHARLOTTE, NC 28226
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2012
Last Update Date
01-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
7683
License State
NC
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQUELINE TRILL MS,OTR/L

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(716) 807-5074

Reviews for LEGACY HEALTHCARE SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043580129
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2083108014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 0 + 8 + 0 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1043580129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447466297MRS. CASSANDRA TESTA P.T.A.
Individual
Physical Therapy Assistant5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-8665
1023228236MRS. HEATHER A GAILUNAS P.T.
Individual
Physical Therapist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-8665
1326273145 JO ANNE BAUCOM LPTA
Individual
Physical Therapy Assistant5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-2485
1922236462MRS. AMY WINSTEAD GODWIN MPT
Individual
Physical Therapist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 366-4399
1730414608 TARA TENNISON FITZGERALD PT
Individual
Physical Therapist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 900-0126
1912228735LEGACY HEALTHCARE SERVICES
Organization
Clinic/Center (Rehabilitation)5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-2485
1487975686MRS. PATTI BURRIS DEATON COTA
Individual
Occupational Therapy Assistant5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-2485
1265749535LEGACY HEALTHCARE SERVICES
Organization
Health Maintenance Organization5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-2485
1942510490 ANGELA NICHOLE SAWYER
Individual
Occupational Therapy Assistant5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 366-2485
1376807800MR. NICHOLAS JAMES BRAND OTR
Individual
Occupational Therapist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-2485
1639411721AL ONE INVESTMENTS LLC
Organization
Assisted Living Facility5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 365-5252
1396114344 MICHELLE FLORIO MAITIN
Individual
Speech-Language Pathologist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 364-2485
1760947055 JOSEPH RODRIGUEZ DPT
Individual
Physical Therapist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 365-5252
1568040871 TATTIAUNA COUSER PTA
Individual
Physical Therapy Assistant5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 365-5252
1144990177 SUMMER W PATEL
Individual
Occupational Therapist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 365-5252
1770327603 SAMANTHA FREE
Individual
Physical Therapist5114 PROVIDENCE RD
CHARLOTTE, NC 28226
(704) 365-5252

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043580129, enumerated in the NPI registry as an "organization" on January 06, 2012

The provider is located at 5114 Providence Rd Charlotte, Nc 28226 and the phone number is (704) 365-5252

This medical organization specializes in Occupational Therapist with taxonomy code 225X00000X

This NPI record was last updated on January 06, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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