LEGACY HEALTHCARE SERVICES INC
NPI 1710637582
Physical Therapist in South Jordan, UT
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
Specialties & Licenses 3
- 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.
Group Practice 1
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
11Medicare 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
Clinicians, nearest first (11)
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.