LEGACY BEACH THERAPIES LLC
NPI 1417664541
Clinic/Center - Physical Therapy in Nolanville, TX

Active since October 28, 2022
202 N MAIN ST, NOLANVILLE, TX 76559(254) 624-6786 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2023, Oct 28, 2022 (2 updates tracked since 2022).

About Legacy Beach Therapies Llc NPPES

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

LEGACY BEACH THERAPIES LLC (NPI 1417664541) is a healthcare organization registered as a physical therapy in Nolanville, Texas and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Temple and lists Joel Thomas Kelley, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1417664541
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLEGACY BEACH THERAPIES LLC
Location Address202 N MAIN STNolanville, TX 76559-4349
Mailing Address8631 Cedar Creek RdTemple, TX 76504-6144 · (254) 493-0648
Organization SubpartNo
Authorized OfficialJoel Thomas KelleyOwner/physical Therapist · (254) 493-0648
Enumeration DateOctober 28, 2022
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1417664541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
202 N MAIN ST, Nolanville, TX 76559

Secondary Practice Location 1

Location 18631 Cedar Creek RdTemple, TX 76504-6144 · Phone (254) 493-0648

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Beach Therapies Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Legacy Beach Therapies LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Occupational Therapist in Private Practice
NPI 1477815470
202 N MAIN ST
Nolanville, TX 76559
(254) 393-0081
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1750851713
101B W CENTRAL TEXAS EXPY STE D
Harker Heights, TX 76548
(254) 630-1186
✔ Accepts Medicare3.9 mi
Physical Therapist in Private Practice
NPI 1679249510
2029 KAUFFMAN LOOP UNIT 410
Georgetown, TX 78628
(512) 200-4469
33 mi
Physical Therapist in Private Practice
NPI 1154005510
2029 KAUFFMAN LOOP UNIT 410
Georgetown, TX 78628
(512) 200-4469
33 mi

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 Beach Therapies LLC's NPI number?

The NPI number for Legacy Beach Therapies LLC is 1417664541. It was assigned to this organization in the NPPES registry on October 28, 2022.

Where is Legacy Beach Therapies LLC located?

Legacy Beach Therapies LLC is located at 202 N Main St, Nolanville, TX 76559. The listed phone number is (254) 624-6786.

What is Legacy Beach Therapies LLC's specialty?

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

Is Legacy Beach Therapies LLC enrolled in Medicare?

Yes. Legacy Beach Therapies LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Beach Therapies LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Legacy Beach Therapies LLC. 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 (3) and Occupational Therapist in Private Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Legacy Beach Therapies LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Legacy Beach Therapies LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Beach Therapies LLC was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.