AEGIS GROUP PRACTICE LLC (NPI# 1174027478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174027478 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE LLC |
| Practice Address |
50 Joachim Drive Gulf Breeze FL 32561 |
| Mailing Address |
1000 Fianna Way Fort Smith AR 72919-9008 |
| Practice Telephone | 8004446545 |
| Mailing Telephone | 4792016089 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| 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 | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227169 | Aegis Group Practice LLC | Occupational Therapist | 3060 Valley Farms Rd, Indianapolis, IN 46214-4501 | 2020-08-28 |
| 1821628611 | Aegis Group Practice LLC | Occupational Therapist | 4491 S Main St, Acworth, GA 30101-5564 | 2020-01-21 |
| 1467097360 | Aegis Group Practice LLC | Occupational Therapist | 6234 Maywood Ave, Middleton, WI 53562-2205 | 2019-11-14 |
| 1588209175 | Aegis Group Practice LLC | Occupational Therapist | 111 Owen Rd, Monona, WI 53716-3585 | 2019-11-07 |
| 1538716733 | Aegis Group Practice LLC | Physical Therapist | 1882 Clairmont Rd, Decatur, GA 30033-3405 | 2019-08-22 |
| 1134780737 | Aegis Group Practice LLC | Occupational Therapist | 9101 North Ambassador Drive, Kansas City, MO 64154 | 2019-06-25 |
| 1841854494 | Aegis Group Practice LLC | Occupational Therapist | 90 Ruth Ln, Cumming, GA 30041-1500 | 2019-04-30 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1205394046 | Aegis Group Practice LLC | Occupational Therapist | 3515 E Hamilton Ave, Eau Claire, WI 54701-6881 | 2019-03-12 |
| 1811455686 | Aegis Group Practice LLC | Physical Therapist | 3706 Damon St, Eau Claire, WI 54701-9265 | 2019-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | AEGIS GROUP PRACTICE LLC | 5220 Tennyson Pkwy Ste 400, Plano, Texas 75024 |
| Street Address |
50 JOACHIM DRIVE |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| 1194885350 | Prn of Nw Florida Inc | Nursing Care | 2 Sugar Bowl Lane, Pensacola, FL 32561 | 2006-12-11 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709183 | Kendall Jenkins Kubik | Physical Therapist | 1167 Sawgrass Dr, Gulf Breeze, FL 32563-3591 | 2020-01-12 |
| 1164088407 | Holly Mcduff | Physical Therapist | 1590 Woodbluff Ct, Gulf Breeze, FL 32563-9593 | 2019-05-13 |
| 1548500960 | Pt Solutions of Pensacola, LLC | Physical Therapist | 4338 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-9149 | 2013-02-21 |
| 1972825024 | Tlc Rehab, Inc. | Physical Therapist | 3428 Gulf Breeze Parkway, Gulf Breeze, FL 32563-1400 | 2010-02-17 |
| 1093967879 | Jessica Mason Hosford | Physical Therapist | 1515 Lighthouse Ct, Gulf Breeze, FL 32563-5900 | 2008-10-13 |
| 1811167869 | Integrative Chiropractic & Physical Therapy Solutions Inc | Physical Therapist | 4657 Gulf Breeze Pkwy Ste A&b, Gulf Breeze, FL 32563-9166 | 2008-03-06 |
| 1538349014 | Michael Scott Demahy | Physical Therapist | 1040 Gulf Breeze Pkwy Ste 101, Gulf Breeze, FL 32561-7808 | 2007-11-13 |
| 1750504932 | Stephen A Gulsby | Physical Therapist | 3408 Santa Rosa Dr, Gulf Breeze, FL 32563-5665 | 2007-04-10 |
| 1275670374 | Karen Cann | Physical Therapist | 4657 Gulf Breeze Pkwy., Suites A & B, Gulf Breeze, FL 32563 | 2007-01-30 |
| 1366400954 | Julie Condon Kellen | Physical Therapist | 1300 Shoreline Dr, Suite 104, Gulf Breeze, FL 32561-4765 | 2006-05-03 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
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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.