Legacy Beach Therapies LLC
NPI 1417664541 · Physical Therapy Clinic/Center · Nolanville, TX
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Beach Therapies LLC is a Physical Therapy Clinic/Center organization in Nolanville, TX (NPI 1417664541).
Provider details
- NPI number
- 1417664541
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joel Kelley, Owner/Physical Therapist(254) 493-0648
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
- Physical Therapist225100000X
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
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 8631 Cedar Creek RdTemple, TX 76504-6144Phone: (254) 493-0648
Registry dates
- Enumerated
- 2022-10-28
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Frequently asked questions
- What is Legacy Beach Therapies LLC's NPI number?
- Legacy Beach Therapies LLC's National Provider Identifier (NPI) is 1417664541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Beach Therapies LLC?
- Legacy Beach Therapies LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Legacy Beach Therapies LLC located?
- Legacy Beach Therapies LLC's practice location on file with NPPES is 202 N Main St, Nolanville, TX 76559-4349.
- What is Legacy Beach Therapies LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Beach Therapies LLC is (254) 624-6786.
- Does Legacy Beach Therapies LLC accept Medicare?
- Legacy Beach Therapies LLC 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 Beach Therapies LLC?
- The authorized official listed on Legacy Beach Therapies LLC's NPPES record is Joel Kelley, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Beach Therapies LLC's NPI active?
- Yes — Legacy Beach Therapies LLC's NPI (1417664541) is active in the NPPES registry as of the last update on 2023-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.