Individual ProviderNicholas Thomas LegacyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4225 Executive Sq Ste 1500, La Jolla, CA 92037-1487(800) 585-1299(724) 841-6051PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas Thomas Legacy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1538635339Provider TypeIndividualFull NameLegacy, Nicholas ThomasTitleDr.CredentialDPTGenderMaleSole ProprietorYesEnumeration Date10/18/2018Last Updated10/18/2018Contact InformationPractice LocationPractice Address4225 Executive Sq Ste 1500, La Jolla, CA 92037-1487Phone(800) 585-1299FaxUnlisted FaxMailing LocationMailing Address348 S Eberhart Rd, Butler, PA 16001-2841Phone(724) 841-6051FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT027130Pennsylvania