Organization · Type 2 NPI

Legacy Physical Therapy and Performance, LLC

Orthopedic Physical Therapist · Streetsboro, OH

NPI number 1104779255 Active

Practice location

9061 SR-14
Streetsboro, OH 44241

Mailing address

8007 Dovegate Cir
Mentor, OH 44060-5997

Specialties and licenses

TaxonomyCodeLicense
Neurology Physical Therapist 2251N0400XNone listed
Sports Physical Therapist 2251S0007XNone listed
Orthopedic Physical Therapist Primary 2251X0800XNone listed

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

About NPI 1104779255

Legacy Physical Therapy and Performance, LLC's National Provider Identifier is 1104779255, issued on Feb 18, 2026. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Streetsboro, OH. The record was last updated on Feb 18, 2026.