Legendary Physical Therapy And Wellness Center

LBN: Legendary Physical Therapy Llc
Legendary Physical Therapy And Wellness Center is an health care organization with primary practice located at 410 N Palafox St , Pensacola FL 32501-3919. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Legendary Physical Therapy Llc can be contacted via phone (850) 332-7681, or through Watkins, Louie via phone (850) 380-4377.

Contact Information

Primary practice address
410 N Palafox St Pensacola FL 32501-3919
Phone: (850) 332-7681
Fax: (850) 512-1188
Website:
Map and Directions
Authorized official contact:
Name: Watkins, Louie PT, DPT, COMT
Phone: (850) 380-4377

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1578089983
LBN Legal business name Legendary Physical Therapy Llc
DBA Doing business as Legendary Physical Therapy And Wellness Center
Authorized official Watkins, Louie PT, DPT, COMT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2017
Last updated Oct 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578089983 NPPES
Florida MEDICAID 022219700
Florida Other 1568589588

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