LEGACY HEALTHCARE SERVICES INC
NPI 1366063000
Physical Therapist in Little River, SC

Active since May 05, 2020
190 RIVER PARK DR, LITTLE RIVER, SC 29566(855) 239-3467 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2021, May 5, 2020 (2 updates tracked since 2020).

About Legacy Healthcare Services Inc NPPES

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

LEGACY HEALTHCARE SERVICES INC (NPI 1366063000) is a healthcare organization registered as a physical therapist in Little River, South Carolina and active in the NPI registry since May 2020. The organization lists William G Wilson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366063000
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameLEGACY HEALTHCARE SERVICES INC
Location Address190 RIVER PARK DRLittle River, SC 29566-6844
Mailing Address110 Horizon Dr Ste 310Raleigh, NC 27615-4926 · (910) 724-7770
Organization SubpartNo
Authorized OfficialWilliam G WilsonCfo · (919) 424-5080
Enumeration DateMay 5, 2020
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1366063000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
190 RIVER PARK DR, Little River, SC 29566

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Healthcare Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20200629001631Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

64

Medicare enrollment records show 64 clinicians reassign Medicare billing to Legacy Healthcare Services Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice28
Occupational Therapist in Private Practice22
Qualified Speech Language Pathologist14

Nearest to this location (20)

See all 64
Occupational Therapist in Private Practice
NPI 1285112466
190 RIVER PARK DR
Little River, SC 29566
(585) 298-0718
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1730734856
190 RIVER PARK DR
Little River, SC 29566
(843) 894-4122
Same address
Physical Therapist in Private Practice
NPI 1790460400
190 RIVER PARK DR
Little River, SC 29566
(843) 741-0082
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1780562686
190 RIVER PARK DR
Little River, SC 29566
(614) 517-6262
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1841045119
1110 HEATHER GLEN BLVD
Little River, SC 29566
(631) 708-7913
✔ Accepts Medicare4.5 mi
Qualified Speech Language Pathologist
NPI 1316375298
4810 BROOKSIDE LN
Myrtle Beach, SC 29579
(703) 489-1867
17 mi
Qualified Speech Language Pathologist
NPI 1295910057
35 REFERENDUM DR NE
Bolivia, NC 28422
(910) 406-5100
32 mi
Occupational Therapist in Private Practice
NPI 1972211449
6545 ANGELS GIFT TRL NE
Leland, NC 28451
(910) 789-4532
40 mi
Qualified Speech Language Pathologist
NPI 1750078184
1402 HOSPITAL PLAZA DR
Wilmington, NC 28401
(910) 886-2003
✔ Accepts Medicare49 mi
Physical Therapist in Private Practice
NPI 1851066658
1951 CLEMENTS FERRY RD STE 202
Charleston, SC 29492
(843) 990-5262
✔ Accepts Medicare96 mi
Occupational Therapist in Private Practice
NPI 1184252413
1400 LIBERTY MIDTOWN DR
Mount Pleasant, SC 29464
(843) 287-9556
97 mi
Occupational Therapist in Private Practice
NPI 1386314532
1885 RIFLE RANGE RD
Mt Pleasant, SC 29464
(843) 856-4700
✔ Accepts Medicare98 mi
Physical Therapist in Private Practice
NPI 1346647963
753 SAPPHO CT
Mt Pleasant, SC 29464
(843) 607-4058
✔ Accepts Medicare99 mi
Physical Therapist in Private Practice
NPI 1225161458
2825 CARTER RD
Sumter, SC 29150
(888) 531-2204
99 mi
Physical Therapist in Private Practice
NPI 1922587815
1200 HOSPITAL DR
Mount Pleasant, SC 29464
(843) 375-4000
✔ Accepts Medicare100 mi
Qualified Speech Language Pathologist
NPI 1225982630
142 SPORTSMAN ISLAND DR STE E
Charleston, SC 29492
(513) 283-7345
✔ Accepts Medicare100 mi
Occupational Therapist in Private Practice
NPI 1285078238
601 MATHIS FERRY RD
Mt Pleasant, SC 29464
(843) 881-9809
✔ Accepts Medicare100 mi
Physical Therapist in Private Practice
NPI 1487093332
183 CIVITAS ST
Mt Pleasant, SC 29464
(843) 670-2063
✔ Accepts Medicare101 mi
Qualified Speech Language Pathologist
NPI 1124336466
1233 BEN SAWYER BLVD SUITE 500
Mt Pleasant, SC 29464
(843) 697-6640
101 mi
Qualified Speech Language Pathologist
NPI 1770178618
9225 UNIVERSITY BLVD STE E2C
North Charleston, SC 29406
(843) 569-4546
101 mi
See all 64 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Inc's NPI number?

The NPI number for Legacy Healthcare Services Inc is 1366063000. It was assigned to this organization in the NPPES registry on May 5, 2020.

Where is Legacy Healthcare Services Inc located?

Legacy Healthcare Services Inc is located at 190 River Park Dr, Little River, SC 29566. The listed phone number is (855) 239-3467.

What is Legacy Healthcare Services Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Legacy Healthcare Services Inc enrolled in Medicare?

Yes. Legacy Healthcare Services Inc is registered in the Medicare PECOS enrollment system.

When is Legacy Healthcare Services Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Legacy Healthcare Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 3 Medicare specialties reassign their Medicare billing to Legacy Healthcare Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (28), Occupational Therapist in Private Practice (22) and Qualified Speech Language Pathologist (14). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Legacy Healthcare Services Inc was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.