LEGACY HEALTHCARE SERVICES MASSACHUSETTS LLC
NPI 1962108761
Physical Therapist in Westborough, MA

Active since February 02, 2023
129 E MAIN ST, WESTBOROUGH, MA 01581(855) 239-3467 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Legacy Healthcare Services Massachusetts Llc NPPES

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

LEGACY HEALTHCARE SERVICES MASSACHUSETTS LLC (NPI 1962108761) is a healthcare organization registered as a physical therapist in Westborough, Massachusetts and active in the NPI registry since February 2023. The organization lists William Gil Wilson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962108761
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameLEGACY HEALTHCARE SERVICES MASSACHUSETTS LLC
Location Address129 E MAIN STWestborough, MA 01581-1578
Mailing Address110 Horizon Dr Ste 310Raleigh, NC 27615-4926 · (910) 424-5080
Organization SubpartNo
Authorized OfficialWilliam Gil WilsonCfo · (919) 424-5080
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1962108761 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 Therapy AssistantTaxonomy 224Z00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
129 E MAIN ST, Westborough, MA 01581

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Legacy Healthcare Services Massachusetts LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Occupational Therapist in Private Practice
NPI 1538404603
3 ESTHER DR
Milford, MA 01757
(508) 422-9962
✔ Accepts Medicare7.2 mi
Physical Therapist in Private Practice
NPI 1497031850
484 MAIN ST
Worcester, MA 01608
(508) 751-6306
9.1 mi
Physical Therapist in Private Practice
NPI 1083395982
136 CENTRAL ST APT C9
Hudson, MA 01749
(508) 397-2539
✔ Accepts Medicare9.4 mi
Physical Therapist in Private Practice
NPI 1881886109
29 BRENDAN RD
Clinton, MA 01510
(978) 618-2421
12 mi
Physical Therapist in Private Practice
NPI 1023149028
40 N MAIN ST
Bellingham, MA 02019
(508) 966-2717
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1164488375
298 NAT TURNER BLVD S
Newport News, VA 23606
(757) 596-1900
✔ Accepts Medicare441 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 Massachusetts LLC's NPI number?

The NPI number for Legacy Healthcare Services Massachusetts LLC is 1962108761. It was assigned to this organization in the NPPES registry on February 2, 2023.

Where is Legacy Healthcare Services Massachusetts LLC located?

Legacy Healthcare Services Massachusetts LLC is located at 129 E Main St, Westborough, MA 01581. The listed phone number is (855) 239-3467.

What is Legacy Healthcare Services Massachusetts LLC's specialty?

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

Is Legacy Healthcare Services Massachusetts LLC enrolled in Medicare?

Yes. Legacy Healthcare Services Massachusetts LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Healthcare Services Massachusetts LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Legacy Healthcare Services Massachusetts 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 (5) and Occupational Therapist in Private Practice (1). Of these, 3 practice 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 Healthcare Services Massachusetts LLC was last updated on February 2, 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.