Legacy Healthcare Services Inc
NPI 1366063000 · Physical Therapist · Little River, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Healthcare Services Inc is a Physical Therapist organization in Little River, SC (NPI 1366063000).
Provider details
- NPI number
- 1366063000
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- William Wilson, Cfo(919) 424-5080
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Frequently asked questions
- What is Legacy Healthcare Services Inc's NPI number?
- Legacy Healthcare Services Inc's National Provider Identifier (NPI) is 1366063000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Healthcare Services Inc?
- Legacy Healthcare Services Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Legacy Healthcare Services Inc located?
- Legacy Healthcare Services Inc's practice location on file with NPPES is 190 River Park Dr, Little River, SC 29566-6844.
- What is Legacy Healthcare Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Legacy Healthcare Services Inc is (855) 239-3467.
- Does Legacy Healthcare Services Inc accept Medicare?
- Legacy Healthcare Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Healthcare Services Inc?
- The authorized official listed on Legacy Healthcare Services Inc's NPPES record is William Wilson, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Healthcare Services Inc's NPI active?
- Yes — Legacy Healthcare Services Inc's NPI (1366063000) is active in the NPPES registry as of the last update on 2021-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.