DR. NICHOLAS THOMAS LEGACY DPT
NPI 1538635339
Physical Therapist in La Jolla, CA

Active since October 18, 2018Accepts Medicare Assignment
4225 EXECUTIVE SQ STE 1500, LA JOLLA, CA 92037(800) 585-1299 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Oct 18, 2018 (2 updates tracked since 2018).

About Dr. Nicholas Thomas Legacy Dpt NPPES

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

DR. NICHOLAS THOMAS LEGACY DPT (NPI 1538635339) is an individual physical therapist in La Jolla, California, licensed in Pennsylvania (PT027130) and active in the NPI registry since October 2018. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1538635339
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. NICHOLAS THOMAS LEGACYCredential: DPT
Location Address4225 EXECUTIVE SQ STE 1500La Jolla, CA 92037-1487
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 18, 2018
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1538635339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in PA · PT027130
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.
4225 EXECUTIVE SQ STE 1500, La Jolla, CA 92037

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas Thomas Legacy Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244737328
PECOS Enrollment IDI20251007000769, I20251229002909

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
4225 EXECUTIVE SQ STE 1500
LA JOLLA, CA 92037
Physical Therapist
4225 EXECUTIVE SQ STE 1500
LA JOLLA, CA 92037
Occupational Therapist
4225 EXECUTIVE SQ STE 1500
LA JOLLA, CA 92037

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 Nicholas Legacy's NPI number?

The NPI number for Nicholas Legacy is 1538635339. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Nicholas Legacy located?

Nicholas Legacy practices at 4225 Executive Sq Ste 1500, La Jolla, CA 92037. The listed phone number is (800) 585-1299.

What is Nicholas Legacy's specialty?

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

Is Nicholas Legacy enrolled in Medicare?

Yes. Nicholas Legacy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Legacy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nicholas Legacy 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 Nicholas Legacy was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.