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LEGACY ORTHOPEDIC REHAB LLC
NPI 1679264659
Physical Therapist - Orthopedic in Newnan, GA

Active since May 18, 2023
2462 HIGHWAY 34 E STE E, NEWNAN, GA 30265(229) 886-7400 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Legacy Orthopedic Rehab Llc NPPES

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

LEGACY ORTHOPEDIC REHAB LLC (NPI 1679264659) is a healthcare organization registered as an orthopedic in Newnan, Georgia and active in the NPI registry since May 2023. The organization lists Joshua Smith, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1679264659
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameLEGACY ORTHOPEDIC REHAB LLC
Location Address2462 HIGHWAY 34 E STE ENewnan, GA 30265-2378
Mailing Address165 Hickory Hills DrNewnan, GA 30263-6343 · (229) 886-7400
Phone(229) 886-7400
Organization SubpartNo
Authorized OfficialJoshua SmithOwner/physical Therapist · (229) 886-7400
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1679264659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2462 HIGHWAY 34 E STE E, Newnan, GA 30265
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Orthopedic Rehab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Legacy Orthopedic Rehab LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Deanna Saunders, DPT
Physical Medicine and Rehabilitation
NPI 1780519348
2462 HIGHWAY 34 E STE E
Newnan, GA 30265
(770) 580-3057
✔ PECOS✔ Accepts MedicareSame address
Makayla Herrera
Physical Therapist in Private Practice
NPI 1528576360
2462 HIGHWAY 34 E STE E
Newnan, GA 30265
(770) 580-3057
Same address
Joshua Smith, PT, DPT
Physical Therapist in Private Practice
NPI 1588219695
1111 LOWER FAYETTEVILLE RD STE 2000
Newnan, GA 30265
(770) 251-7284
✔ Accepts Medicare3.7 mi
Amari Black
Physical Therapist in Private Practice
NPI 1497627897
812 S PARK ST STE 1
Carrollton, GA 30117
(770) 834-7436
✔ Accepts Medicare24 mi
Tristen Patterson
Physical Therapist in Private Practice
NPI 1275052920
4255 NOTASULGA RD
Tallassee, AL 36078
(334) 415-8717
88 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 Orthopedic Rehab LLC's NPI number?

The NPI number for Legacy Orthopedic Rehab LLC is 1679264659. It was assigned to this organization in the NPPES registry on May 18, 2023.

Where is Legacy Orthopedic Rehab LLC located?

Legacy Orthopedic Rehab LLC is located at 2462 Highway 34 E Ste E, Newnan, GA 30265. The listed phone number is (229) 886-7400.

What is Legacy Orthopedic Rehab LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Legacy Orthopedic Rehab LLC enrolled in Medicare?

Yes. Legacy Orthopedic Rehab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Orthopedic Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Legacy Orthopedic Rehab 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 (4) and Physical Medicine and Rehabilitation (1). Of these, 2 practice at this address and 3 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 Orthopedic Rehab LLC was last updated on May 18, 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.