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

The Legacy Ranch LLC

Organization Physical Therapist · NPI 1063171445

The Legacy Ranch LLC is a Physical Therapist in Lockport, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2705 S Farrell Rd
Lockport, IL 60441-9760
Phone: (630) 601-8920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Therapist Taxonomy 225100000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1063171445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandi Moleski — Owner · (630) 601-8920
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address2705 S Farrell Rd, Lockport, IL 60441-9760

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