Legacy Physical Therapy And Performance, LLC
Physical Therapist, Orthopedic in Streetsboro, OH. Organization (NPI-2).
NPI number1104779255
StatusActive
Last updated in NPPESFeb 18, 2026
Details
- NPI
- 1104779255
- Entity type
- Organization (NPI-2)
- Legal business name
- Legacy Physical Therapy And Performance, LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2026
- Certification date
- Feb 15, 2026
- Last updated
- Feb 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | – | – | Yes |
| 2251N0400X | Physical Therapist, Neurology | – | – | |
| 2251S0007X | Physical Therapist, Sports | – | – |
Practice location
9061 Sr-14Streetsboro, OH 44241
Phone 216-452-8606
Mailing address
8007 Dovegate CirMentor, OH 44060-5997
Phone 813-230-9328
Authorized official
David Colvin
Owner, Physical Therapist
8132309328
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