LEGACY HEALTHCARE SERVICES
NPI 1043580129
Occupational Therapist in Charlotte, NC

Active since January 06, 2012
5114 PROVIDENCE RD, CHARLOTTE, NC 28226(704) 365-5252 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Healthcare Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY HEALTHCARE SERVICES (NPI 1043580129) is a healthcare organization registered as an occupational therapist in Charlotte, North Carolina and active in the NPI registry since January 2012. The organization lists Jacqueline Trill, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1043580129
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameLEGACY HEALTHCARE SERVICES
Location Address5114 PROVIDENCE RDCharlotte, NC 28226-5852
Mailing Address4626 Colony Road, Apt ICharlotte, NC 28226-4980
Organization SubpartNo
Authorized OfficialJacqueline TrillOccupational Therapist · (716) 807-5074
Enumeration DateJanuary 6, 2012
NPI 1043580129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NC · 7683
Definition
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.
5114 PROVIDENCE RD, Charlotte, NC 28226

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5114 PROVIDENCE RD
CHARLOTTE, NC 28226
Occupational Therapist
5114 PROVIDENCE RD
CHARLOTTE, NC 28226
Health Maintenance Organization
5114 PROVIDENCE RD
CHARLOTTE, NC 28226
Physical Therapy Assistant
5114 PROVIDENCE RD
CHARLOTTE, NC 28226
Occupational Therapist
5114 PROVIDENCE RD
CHARLOTTE, NC 28226
Speech-Language Pathologist
5114 PROVIDENCE RD
CHARLOTTE, NC 28226
Physical Therapy Assistant
5114 PROVIDENCE RD
CHARLOTTE, NC 28226
Occupational Therapy Assistant
5114 PROVIDENCE RD
CHARLOTTE, NC 28226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Healthcare Services's NPI number?

The NPI number for Legacy Healthcare Services is 1043580129. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Legacy Healthcare Services located?

Legacy Healthcare Services is located at 5114 Providence Rd, Charlotte, NC 28226. The listed phone number is (704) 365-5252.

What is Legacy Healthcare Services's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Legacy Healthcare Services was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.