Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEGACY PHYSICAL THERAPY LLC
NPI 1154247310
Clinic/Center - Physical Therapy in Oxford, MS

Active since June 24, 2026
11005 COVINGTON WAY, OXFORD, MS 38655(601) 842-5197 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Aug 6, 2026 (2 updates tracked since 2026).

About Legacy Physical Therapy Llc NPPES

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

LEGACY PHYSICAL THERAPY LLC (NPI 1154247310) is a healthcare organization registered as a physical therapy in Oxford, Mississippi and active in the NPI registry since June 2026. The organization lists John Matthew Wuerdeman, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1154247310
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLEGACY PHYSICAL THERAPY LLC
Location Address11005 COVINGTON WAYOxford, MS 38655-7349
Mailing Address1000 N Lamar Blvd # 104Oxford, MS 38655-2808
Organization SubpartNo
Authorized OfficialJohn Matthew WuerdemanPhysical Therapist · (601) 842-5197
Enumeration DateJune 24, 2026
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1154247310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
11005 COVINGTON WAY, Oxford, MS 38655

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 Physical Therapy LLC's NPI number?

The NPI number for Legacy Physical Therapy LLC is 1154247310. It was assigned to this organization in the NPPES registry on June 24, 2026.

Where is Legacy Physical Therapy LLC located?

Legacy Physical Therapy LLC is located at 11005 Covington Way, Oxford, MS 38655. The listed phone number is (601) 842-5197.

What is Legacy Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Legacy Physical Therapy LLC was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.