AEGIS GROUP PRACTICE LLC (NPI# 1821628611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821628611 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE LLC |
| Practice Address |
4491 S Main St Acworth GA 30101-5564 |
| Mailing Address |
2601 Network Blvd Ste 102 Frisco TX 75034-9092 |
| Practice Telephone | 8004446845 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| 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 |
| 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 |
| 1336607100 | Aegis Group Practice LLC | Occupational Therapist | 3585 S 147th St, New Berlin, WI 53151-8403 | 2019-03-11 |
| Street Address |
4491 S MAIN ST |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-5564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| 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 |
|---|---|---|---|---|
| 1225687411 | Jessica Michelle Mills | Physical Therapist | 3540 Cobb Pkwy Nw Ste 300, Acworth, GA 30101-4179 | 2019-09-10 |
| 1831667401 | Free Life Physical Therapy | Physical Therapist | 2746 Northgate Way Nw, Acworth, GA 30101-3462 | 2018-11-12 |
| 1275017170 | Cara Martin | Physical Therapist | 3540 Cobb Pkwy Nw Ste 300&310, Acworth, GA 30101-4178 | 2018-09-18 |
| 1841788817 | Teresa Blakeslee | Physical Therapist | 2696 Chadwick Ln Nw, Acworth, GA 30101-3471 | 2018-04-25 |
| 1720528375 | Deborah Alison Cooley | Physical Therapist | 4461 S Main St, Acworth, GA 30101-5555 | 2017-03-01 |
| 1285038802 | Hartley Turman | Physical Therapist | 26 Lilyfield Ln, Acworth, GA 30101-1930 | 2014-10-09 |
| 1346657897 | Arielle Mote | Physical Therapist | 4460 Celebration Blvd, Acworth, GA 30101-1105 | 2014-07-16 |
| 1902140528 | Jennifer Ann Baker | Physical Therapist | 512 Rendezvous Rd, Acworth, GA 30102-8803 | 2012-11-20 |
| 1417284225 | Lauren Anne Richards | Physical Therapist | 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101-4106 | 2009-11-16 |
| 1669625240 | Trinity Rehabilitation Services, Inc | Physical Therapist | 4534 Balto Way, Acworth, GA 30101-6303 | 2008-10-28 |
| Find all providers in ACWORTH | ||||
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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.