Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Healthcare Services

Organization Occupational Therapist · NPI 1043580129

Legacy Healthcare Services is an Occupational Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

5114 Providence Rd
Charlotte, NC 28226-5852
Phone: (704) 365-5252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 7683 (NC)

Record details

NPI number1043580129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Trill — Occupational Therapist · (716) 807-5074
NPI enumeratedJanuary 6, 2012
Last updated in NPPESJanuary 6, 2012
Mailing address4626 Colony Road, Apt I, Charlotte, NC 28226-4980

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