Legacy Healthcare Services, Inc.
NPI 1790293983 · Physical Therapist · Mishawaka, IN
Legacy Healthcare Services, Inc. is a Physical Therapist organization in Mishawaka, IN (NPI 1790293983).
Provider details
- NPI number
- 1790293983
- 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
8 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
- 2018-01-22
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Frequently asked questions
- What is Legacy Healthcare Services, Inc.'s NPI number?
- Legacy Healthcare Services, Inc.'s National Provider Identifier (NPI) is 1790293983, 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 530 Tanglewood Ln, Mishawaka, IN 46545-2627.
- What is Legacy Healthcare Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Legacy Healthcare Services, Inc. is (574) 273-3208.
- 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 (1790293983) is active in the NPPES registry as of the last update on 2022-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.