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 last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Physical Therapy

About LEGACY PHYSICAL THERAPY LLC

This page provides the complete NPI Profile along with additional information for Legacy Physical Therapy Llc, a provider established in Oxford, Mississippi operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1154247310 assigned on June 2026. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is John Matthew Wuerdeman (Physical Therapist)

NPI
1154247310 Verify this NPI
Provider Name
LEGACY PHYSICAL THERAPY LLC
Entity Type
Organization
Location Address
11005 COVINGTON WAY OXFORD, MS 38655
Location Phone
(601) 842-5197
Mailing Address
11005 COVINGTON WAY OXFORD, MS 38655
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2026
Last Update Date
06-24-2026
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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.

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

JOHN MATTHEW WUERDEMAN

Authorized Official Title
PHYSICAL THERAPIST
Authorized Official Phone
(601) 842-5197

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154247310, enumerated as an "organization" on June 24, 2026.

The provider is located at 11005 COVINGTON WAY OXFORD, MS 38655 and the phone number is (601) 842-5197.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.