AEGIS GROUP PRACTICE, LLC (NPI# 1750822466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750822466 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE, LLC |
| Practice Address |
1701 Nw Jefferson St Blue Springs MO 64015-7229 |
| Mailing Address |
1000 Fianna Way # Md4843 Fort Smith AR 72919-9008 |
| Practice Telephone | 4792012000 |
| Practice Fax Number | 4792014801 |
| Mailing Telephone | 4792012000 |
| Mailing Fax Number | 4792014801 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | MIKE MCOLVIN (DIRECTOR) |
| 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 |
|---|---|---|---|---|
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 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 |
| 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 |
1701 NW JEFFERSON ST |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-7229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| 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 |
|---|---|---|---|---|
| 1831658756 | Patrick Joseph Zink | Occupational Therapist | 732 N 7 Hwy, Blue Springs, MO 64014-2425 | 2019-03-19 |
| 1699101691 | Jana Bedsworth | Occupational Therapist | 713 Se Parkwood Ct, Blue Springs, MO 64014-4712 | 2013-09-23 |
| 1396250429 | Serc Rehabilitation Partners LLC | Occupational Therapist | 1320 Nw Highway 7, Blue Springs, MO 64014 | 2017-12-12 |
| 1588189591 | Sarah Elizabeth Park | Occupational Therapist | 1225 Sw State Route 7, Blue Springs, MO 64014-3539 | 2017-08-10 |
| 1336482041 | Serc Rehabilitation Partners, LLC | Occupational Therapist | 1225 S 7 Hwy, Blue Springs, MO 64014-3539 | 2013-04-01 |
| 1104013861 | Kim Schrick | Occupational Therapist | 1801 Nw Vesper St, Blue Springs, MO 64015-3219 | 2007-09-26 |
| 1801083571 | Christopher Workman | Occupational Therapist | 1801 Nw Vesper St, Blue Springs, MO 64015-3219 | 2007-09-26 |
| 1316134042 | Sarah Montgomery | Occupational Therapist | 1801 Nw Vesper St, Blue Springs, MO 64015-3219 | 2007-09-26 |
| 1073700860 | Michelle Davis | Occupational Therapist | 1801 Nw Vesper St, Blue Springs, MO 64015-3219 | 2007-09-26 |
| 1679760474 | Nancy Dodge | Occupational Therapist | 1801 Nw Vesper St, Blue Springs, MO 64015-3219 | 2007-09-26 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
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.