| Legacy Healthcare Services Inc | |
|
10569 S River Heights Dr, South Jordan, UT 84095-5925 | |
| (855) 239-3467 | |
| Not Available |
| Full Name | Legacy Healthcare Services Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 10569 S River Heights Dr, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710637582 | NPI | - | NPPES |
| Provider Name | Christopher L Bevan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750924395 PECOS PAC ID: 7012344476 Enrollment ID: I20200224002546 |
| Provider Name | Kari Kinsolving |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619580123 PECOS PAC ID: 5395162747 Enrollment ID: I20220526000866 |
| Provider Name | Bhavi Bharat Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598433658 PECOS PAC ID: 7012395478 Enrollment ID: I20220526000944 |
| Provider Name | Madeline R Butkus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588272124 PECOS PAC ID: 8527440213 Enrollment ID: I20220727002312 |
| Provider Name | Alice E Pugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649915174 PECOS PAC ID: 9133504558 Enrollment ID: I20220920003288 |
| Provider Name | Hanna E Ewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225758675 PECOS PAC ID: 2062889280 Enrollment ID: I20221101001588 |
| Provider Name | Michaela Kiersch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316669674 PECOS PAC ID: 5395113328 Enrollment ID: I20221123001887 |
| Provider Name | Whitney N Stilwell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013566207 PECOS PAC ID: 9436528635 Enrollment ID: I20221209002606 |
| Provider Name | Rebecca Walsh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760830921 PECOS PAC ID: 6800268632 Enrollment ID: I20230203002499 |
| Provider Name | Ryan J Haun |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669701751 PECOS PAC ID: 5890151880 Enrollment ID: I20230517001772 |
| Provider Name | Jesiree Mae Dizon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154966919 PECOS PAC ID: 5092124198 Enrollment ID: I20230615003194 |
| Provider Name | Sharon Adams Leeser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093381410 PECOS PAC ID: 4385046325 Enrollment ID: I20240215003792 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Healthcare Services Inc 110 Horizon Dr Ste 310, Raleigh, NC 27615-4926 Ph: (910) 724-7770 | Legacy Healthcare Services Inc 10569 S River Heights Dr, South Jordan, UT 84095-5925 Ph: (855) 239-3467 |
Clayton Daniel Powers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 | |
Todd Harold Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3785 W 10400 S Ste 104, South Jordan, UT 84095 Phone: 801-673-4430 | |
Elizabeth Junk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-5275 Fax: 801-213-5077 | |
Jared Moser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 | |
Matthew Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10376 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-619-3670 | |
Matthew Jerry Hobbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 Fax: 801-676-2212 | |
Christine Ulses, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Phone: 801-254-5800 Fax: 801-254-1696 |