LEGACY HEALTHCARE SERVICES INC
NPI 1710637582
Physical Therapist in South Jordan, UT

Active since March 25, 2022
10569 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095(855) 239-3467 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Legacy Healthcare Services Inc NPPES

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

LEGACY HEALTHCARE SERVICES INC (NPI 1710637582) is a healthcare organization registered as a physical therapist in South Jordan, Utah and active in the NPI registry since March 2022. The organization lists William G Wilson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710637582
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameLEGACY HEALTHCARE SERVICES INC
Location Address10569 S RIVER HEIGHTS DRSouth Jordan, UT 84095-5925
Mailing Address110 Horizon Dr Ste 310Raleigh, NC 27615-4926 · (910) 724-7770
Organization SubpartNo
Authorized OfficialWilliam G WilsonCfo · (919) 424-5080
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1710637582 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
10569 S RIVER HEIGHTS DR, South Jordan, UT 84095

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 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).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Legacy Healthcare Services Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice5
Occupational Therapist in Private Practice4
Qualified Speech Language Pathologist2

Clinicians, nearest first (11)

Occupational Therapist in Private Practice
NPI 1396534178
10569 S RIVER HEIGHTS DR
South Jordan, UT 84095
(385) 274-2000
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1912555301
18406 W WHITE QUEST DR
Eagle Mountain, UT 84013
(801) 335-4699
20 mi
Physical Therapist in Private Practice
NPI 1992065841
836 W 1880 N
Orem, UT 84057
(801) 367-1865
21 mi
Physical Therapist in Private Practice
NPI 1528426988
555 W SR 164
Salem, UT 84653
(385) 203-1313
✔ Accepts Medicare36 mi
Occupational Therapist in Private Practice
NPI 1760830921
7501 E THOMPSON PEAK PKWY
Scottsdale, AZ 85255
(888) 676-8171
✔ Accepts Medicare475 mi
Physical Therapist in Private Practice
NPI 1619580123
600 CENTRAL AVE SE STE D
Albuquerque, NM 87102
(505) 242-2294
✔ Accepts Medicare477 mi
Physical Therapist in Private Practice
NPI 1093381410
2225 W SOUTHERN AVE STE B
Mesa, AZ 85202
(623) 888-3502
✔ Accepts Medicare494 mi
Qualified Speech Language Pathologist
NPI 1669701751
6276 LONDON PLATTSBURG RD
South Charleston, OH 45368
(937) 408-2829
✔ Accepts Medicare1,489 mi
Occupational Therapist in Private Practice
NPI 1013566207
800 N LAKE DR
Lexington, SC 29072
(877) 407-3422
✔ Accepts Medicare1,744 mi
Qualified Speech Language Pathologist
NPI 1275093478
2055 E GEORGIA ST
Bartow, FL 33830
(863) 533-0578
✔ Accepts Medicare1,921 mi
Physical Therapist in Private Practice
NPI 1154966919
94-216 FARRINGTON HWY # A-102
Waipahu, HI 96797
(808) 600-9148
✔ Accepts Medicare2,993 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 Healthcare Services Inc's NPI number?

The NPI number for Legacy Healthcare Services Inc is 1710637582. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Legacy Healthcare Services Inc located?

Legacy Healthcare Services Inc is located at 10569 S River Heights Dr, South Jordan, UT 84095. 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.

How many clinicians bill Medicare through Legacy Healthcare Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 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 (5), Occupational Therapist in Private Practice (4) and Qualified Speech Language Pathologist (2). Of these, 1 practice at this address. 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 March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.