AEGIS GROUP PRACTICE LLC (NPI# 1376916247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376916247 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE LLC |
| Practice Address |
3850 Highway 45 N Meridian MS 39301-1517 |
| Mailing Address |
1000 Fianna Way Md 4843 Fort Smith AR 72919-4843 |
| Practice Telephone | 4792012000 |
| Mailing Telephone | 4792012000 |
| Mailing Fax Number | 4792014801 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | MRS. HOLLY RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792012000 |
| Is Organization Subpart | Y |
| Parent Organization Name | AEGIS THERAPIES, INC. |
| 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 |
|---|---|---|---|---|
| 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 |
3850 HIGHWAY 45 N |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609259936 | Meridian Pediatric Extended Care LLC | Skilled Nursing Facility | 3850 Highway 45 N, Meridian, MS 39301-1517 | 2015-07-06 |
| 1851818652 | Joy Tiley Marvin | Occupational Therapist | 3850 Highway 45 N, Meridian, MS 39301-1517 | 2017-08-23 |
| 1285174177 | Morgan Hutto Bernd | Occupational Therapist | 3850 Highway 45 N, Meridian, MS 39301-1517 | 2017-02-27 |
| 1245684307 | Allison Carroll | Occupational Therapist | 3850 Highway 45 N, Meridian, MS 39301-1517 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1669007852 | Michaela Joy Marks | Occupational Therapist | 1857 S Millenium Way Ste 120, Meridian, ID 83642-1510 | 2020-03-08 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1194125617 | Idaho Pediatric Therapy Clinic Pllc | Occupational Therapist | 3080 E Gentry Way Ste 180, Meridian, ID 83642-3544 | 2014-09-03 |
| 1437572096 | Jennifer Alderson | Occupational Therapist | 2051 E Strauss Ct, Meridian, ID 83646-5270 | 2014-01-31 |
| 1245572429 | Therapeutic Associates, Inc. | Occupational Therapist | 3645 East Overland Rd., Meridian, ID 83642 | 2013-03-26 |
| 1295084465 | Shannon Reid | Occupational Therapist | 1550 N. Crestmont Dr., Ste. E, Meridian, ID 83642-2177 | 2012-09-04 |
| 1881941862 | Jill Ray | Occupational Therapist | 3090 E Gentry Way Ste 250, Meridian, ID 83642-3596 | 2012-08-09 |
| 1255603668 | Sensory Bin Pediatric Therapy Clinic, Pllc | Occupational Therapist | 1098 N Hickory Ave, Suite 110, Meridian, ID 83642-9255 | 2012-01-31 |
| 1972836351 | Marcie Cseplo Ganier | Occupational Therapist | 3874 S Milan Way, Meridian, ID 83642-3081 | 2009-09-16 |
| 1700072311 | New Hope LLC | Occupational Therapist | 2211 Highway 45 N, Meridian, MS 39301-2730 | 2007-09-18 |
| Find all providers in MERIDIAN | ||||
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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.