LEGACY HEALTHCARE SERVICES, INC
NPI 1245550060
Physical Therapist in Burke, VA

NPI Status: Active since June 03, 2010

Contact Information

9642 BURKE LAKE RD
BURKE, VA
ZIP 22015
Phone: (703) 543-7920
Fax: (703) 543-7924

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  • Organization
  • Physical Therapist

About LEGACY HEALTHCARE SERVICES, INC

This page provides the complete NPI Profile along with additional information for Legacy Healthcare Services, Inc, a provider established in Burke, Virginia operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1245550060 assigned on June 2010. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Legacy Healthcare Services, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. William Gil Wilson Jr. (Cfo)

NPI
1245550060
Provider Name
LEGACY HEALTHCARE SERVICES, INC
Entity Type
Organization
Location Address
9642 BURKE LAKE RD BURKE, VA 22015
Location Phone
(703) 543-7920
Location Fax
(703) 543-7924
Mailing Address
110 HORIZON DR STE 310 RALEIGH, NC 27615
Mailing Phone
(919) 424-5080
Mailing Fax
(703) 543-7924
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2010
Last Update Date
08-06-2021
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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

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MR. WILLIAM GIL WILSON JR.

Authorized Official Title
CFO
Authorized Official Phone
(919) 424-5080

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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.
1245550060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851050012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 0 + 5 + 0 + 0 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245550060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750415642MRS. RIBCA BISSRAT MERSHA
Individual
Physical Therapist9642 BURKE LAKE RD
BURKE, VA 22015
(703) 425-1698
1750514311PROF. SHERRI W SHUNFENTHAL SLP/CCC
Individual
Speech-Language Pathologist9642 BURKE LAKE RD
BURKE, VA 22015
(703) 425-1698
1073909131 SHELBY NESTER
Individual
Clinic/Center (Physical Therapy)9642 BURKE LAKE RD
BURKE, VA 22015
(703) 543-7920
1689098071 JANICE F DOWNEY MPT
Individual
Physical Therapist9642 BURKE LAKE RD
BURKE, VA 22015
(703) 543-7920
1508575580 JORDYN HARRISON COTA
Individual
Occupational Therapy Assistant9642 BURKE LAKE RD
BURKE, VA 22015
(703) 425-1698

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245550060, enumerated in the NPI registry as an "organization" on June 03, 2010

The provider is located at 9642 Burke Lake Rd Burke, Va 22015 and the phone number is (703) 543-7920

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on June 03, 2010. 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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