AEGIS GROUP PRACTICE LLC (NPI# 1790243566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790243566 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE LLC |
| Practice Address |
7901 W National Ave West Allis WI 53214-4568 |
| Mailing Address |
1000 Fianna Way Fort Smith AR 72919-9008 |
| Practice Telephone | 8004446845 |
| Mailing Telephone | 4792016089 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-19 |
| 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 |
| Street Address |
7901 W NATIONAL AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457223 | Heritage 7, LLC | Assisted Living Facility | 7901 W National Ave, West Allis, WI 53214-4568 | 2020-04-30 |
| 1689295602 | Heritage 6, LLC | Assisted Living Facility | 7901 W National Ave, West Allis, WI 53214-4568 | 2020-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| 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 |
|---|---|---|---|---|
| 1174992481 | Justin Loeper | Physical Therapist | 1321 S 62nd St, West Allis, WI 53214-3221 | 2015-09-16 |
| 1760713036 | Daniel J Ludgate | Physical Therapist | 10724 W Oklahoma Ave, West Allis, WI 53227-4144 | 2010-01-26 |
| 1184863268 | Mary Paula Dix | Physical Therapist | 8802 W. Becher St., West Allis, WI 53227-1628 | 2009-02-12 |
| 1346417649 | Lauren Claire Rea | Physical Therapist | 1126 S 70th St Ste S305b, West Allis, WI 53214-3151 | 2008-05-15 |
| 1194934604 | Katie C Klein | Physical Therapist | 6737 W Washington St Ste 3200, West Allis, WI 53214-5651 | 2007-05-21 |
| 1326252198 | Medical Equipment Specialists Inc | Physical Therapist | 11220 W Lapham St, West Allis, WI 53214-3806 | 2007-05-10 |
| 1326060419 | Bethany Anne Tabieros | Physical Therapist | 8901 W Lincoln Ave Ste 405, West Allis, WI 53227 | 2006-07-24 |
| 1851344055 | Sandra Jean Ortega | Physical Therapist | Gateway Health Center, 801 S. 70th St, West Allis, WI 53214 | 2006-05-18 |
| 1588623284 | Kathleen Anne Roney | Physical Therapist | 1126 S 70th St, Suite N100a, West Allis, WI 53214-3151 | 2006-03-21 |
| 1063483410 | Mary Paula Mueller | Physical Therapist | 8802 W Becher St, West Allis, WI 53227-1628 | 2006-02-01 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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.