AEGIS GROUP PRACTICE, LLC (NPI# 1124527189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124527189 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE, LLC |
| Practice Address |
2500 Aaron Street Port Charlotte FL 33952 |
| Mailing Address |
1000 Fianna Way Fort Smith AR 72919 |
| Mailing Telephone | 4792016089 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | MICHAEL MCOLVIN (VP FINANCE) |
| Authorized Official Telephone | 4792012000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841705985 | Aegis Group Practice, LLC | Occupational Therapist | 4401 Shallowford Rd Ste 158, Roswell, GA 30075-3175 | 2017-12-12 |
| 1063927879 | Aegis Group Practice, LLC | Occupational Therapist | 999 Crosswater Pkwy, Ponte Vedra, FL 32081-0891 | 2017-12-04 |
| 1841731569 | Aegis Group Practice, LLC | Physical Therapist | 3385 Trickum Rd, Woodstock, GA 30188-4234 | 2017-03-14 |
| 1538600226 | Aegis Group Practice, LLC | Physical Therapist | 2100 Johnston Dr, Raymore, MO 64083-8122 | 2017-03-14 |
| 1518408244 | Aegis Group Practice, LLC | Speech-Language Pathologist | 201 Evergreen Ter, Stockbridge, GA 30281-7375 | 2017-03-14 |
| 1720529423 | Aegis Group Practice, LLC | Physical Therapist | 7155 S Dearing Rd, Covington, GA 30014-7002 | 2017-03-14 |
| 1750822466 | Aegis Group Practice, LLC | Physical Therapist | 1701 Nw Jefferson St, Blue Springs, MO 64015-7229 | 2017-03-14 |
| 1538600259 | Aegis Group Practice, LLC | Physical Therapist | 4999 Prestley Mill Rd, Douglasville, GA 30135-1463 | 2017-03-14 |
| 1548700610 | Aegis Group Practice, LLC | Physical Therapist | 35 1st Ave N, Waite Park, MN 56387-1225 | 2017-03-08 |
| 1275073363 | Aegis Group Practice, LLC | Physical Therapist | W129n6889 Northfield Dr, Menomonee Falls, WI 53051-0518 | 2017-03-08 |
| Street Address |
2500 AARON STREET |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| 1568773026 | Maurice M. Azar | Obstetrics & Gynecology | 1171 Peppertree Ln., Port Charlotte, FL 33952 | 2010-06-29 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760957773 | Susan Evans | Occupational Therapist | 443 Fairmont Ter, Port Charlotte, FL 33954-3462 | 2018-10-05 |
| 1831640796 | Erik Trevor Thomas | Occupational Therapist | 12366 Corporal Cir, Port Charlotte, FL 33953-2259 | 2016-10-17 |
| 1457724171 | Freedom Rehab LLC | Occupational Therapist | 17162 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 | 2015-11-03 |
| 1841636842 | Laura Gomez | Occupational Therapist | 870 Conreid Dr Ne, Port Charlotte, FL 33952-9715 | 2013-05-16 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1740512672 | Kimberly Pouk | Occupational Therapist | 3453 Short St, Port Charlotte, FL 33948-7418 | 2010-02-03 |
| 1962635292 | Jeffery Shawn Underwood | Occupational Therapist | 2305 Aaron St Apt 111, Port Charlotte, FL 33952-5309 | 2009-09-03 |
| 1932331147 | Brenda M Roller | Occupational Therapist | 302 Strasburg Dr, Port Charlotte, FL 33954-3305 | 2009-08-20 |
| 1114122298 | Elizabeth A George | Occupational Therapist | 24011 Madaca Ln Apt 6-204, Port Charlotte, FL 33954-2806 | 2007-06-18 |
| 1679528665 | Clarence Busbee Jr. | Occupational Therapist | 17835 Murdock Circle, C/0 Southwest Florida Hand Specialists, Port Charlotte, FL 35948-4000 | 2006-05-24 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.