AEGIS GROUP PRACTICE LLC (NPI# 1710445580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710445580 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE LLC |
| Practice Address |
825 Cobblestone Ln Kimberly WI 54136-2116 |
| Mailing Address |
1000 Fianna Way Fort Smith AR 72919-9008 |
| Practice Telephone | 8004446845 |
| Mailing Telephone | 4792016089 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| 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 |
825 COBBLESTONE LN |
| City | KIMBERLY |
| State | WI |
| Zip Code | 54136-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346114 | Hsl 14, LLC | Assisted Living Facility | 825 Cobblestone Ln, Kimberly, WI 54136-2116 | 2020-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689361 | Hsl 15, LLC | Assisted Living Facility | 2795 Village Square Drive, Hartland, WI 54136 | 2020-05-04 |
| 1356417067 | James Robert Boots | Chiropractor | 1020 Truman Street, Suite B, Kimberly, WI 54136 | 2006-11-27 |
| 1568572477 | Glen E Rooyakkers | Chiropractor | 702 Eisenhower Drive, Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1225148133 | Tri County Chiropractic Sc | Chiropractor | 702 Eisenhower Drive Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1548273808 | Edward Theodore Bekx | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1477583870 | Joseph C Ferraro | Dentist | 1037-b Truman St., Kimberly, WI 54136 | 2006-07-03 |
| 1770964124 | Building Hope Therapy Services LLC | Occupational Therapist | 1113 W Kennedy Ave Ste E, Kimberly, WI 54136 | 2015-06-11 |
| 1770693681 | Wanda J Rooyakkers | Chiropractor | 702 Eisenhower Drive, Suite G, Kimberly, WI 54136 | 2006-08-30 |
| 1790798056 | Kimberly Dental Associates LLP | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| 1407869761 | Robert Alan Magnin | Dentist | 203 W Kimberly Ave, Kimberly, WI 54136 | 2006-08-15 |
| Find all providers in zip 54136 | ||||
| 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 |
|---|---|---|---|---|
| 1235743436 | Trevor Baker Physical Therapy, Pllc | Physical Therapist | 3463 E 3890 N, Kimberly, ID 83341-5508 | 2020-09-04 |
| 1851889182 | Ammon Benjamin Birk | Physical Therapist | 940 Ballard Way, Kimberly, ID 83341 | 2018-04-23 |
| 1861846990 | Courtney Green | Physical Therapist | 9288 Stouts Rd, Kimberly, AL 35091-2005 | 2016-04-14 |
| 1912496753 | Trevor John Baker | Physical Therapist | 500 Polk St E, Kimberly, ID 83341-1618 | 2018-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102937 | Kathleen Jerry | Physical Therapist | 4414 Dwight Dr Apt 5, Madison, WI 53704-3561 | 2020-10-21 |
| 1750988481 | Jacqueline Cleereman | Physical Therapist | 2106 Schofield Ave Ste 5, Weston, WI 54476-2412 | 2020-10-06 |
| 1972110229 | Michelle Steffes | Physical Therapist | 2350 N 59th St, Milwaukee, WI 53210-2214 | 2020-09-29 |
| 1972110492 | Amelia Rae Wolf | Physical Therapist | W229n1416 Westwood Dr Ste 4, Waukesha, WI 53186-1309 | 2020-09-29 |
| 1639786213 | Melissa Arfstrom | Physical Therapist | 27477 Highway 64 Ste C, Cornell, WI 54732-5223 | 2020-09-28 |
| 1932713146 | Athletico, Ltd | Physical Therapist | N63w23675 Main St, Sussex, WI 53089 | 2020-09-04 |
| 1356953913 | Brittany Smart | Physical Therapist | 7137 236th Ave Ste 101, Salem, WI 53168-8975 | 2020-08-17 |
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1811506447 | David Nehls | Physical Therapist | 626 Lake Shore Dr, Beaver Dam, WI 53916-1432 | 2020-07-29 |
| 1548879786 | Thomas Norman Beine | Physical Therapist | 2210 Dufek Dr, Manitowoc, WI 54220-9356 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AEGIS GROUP PRACTICE LLC.
| 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.