AEGIS GROUP PRACTICE, LLC (NPI# 1063927879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063927879 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE, LLC |
| Practice Address |
999 Crosswater Pkwy Ponte Vedra FL 32081-0891 |
| Mailing Address |
1000 Fianna Way # Md5740 Fort Smith AR 72919-9008 |
| Practice Telephone | 8004446845 |
| Practice Fax Number | 8446406066 |
| Mailing Telephone | 4792016089 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1750822466 | Aegis Group Practice, LLC | Physical Therapist | 1701 Nw Jefferson St, Blue Springs, MO 64015-7229 | 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 |
999 CROSSWATER PKWY |
| City | PONTE VEDRA |
| State | FL |
| Zip Code | 32081-0891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1396379780 | Blue Water Health and Wellness LLC | Clinic/Center | 340 Town Place Ave. Suite 240, Ponte Vedra, FL 32081 | 2020-02-25 |
| 1407489743 | Flagler Professional Health Care Services, Inc. | Radiology | 351 Town Plaza Ave, Ste 101, Ponte Vedra, FL 32081 | 2020-02-14 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1588121487 | Donald A. Barnhorst Jr. Md Pa | Eyewear Supplier (Equipment, not the service) | 190 Marketside Ave., Suite B, Ponte Vedra, FL 32081 | 2019-02-27 |
| 1770056996 | Kelsey Rosenblum | Specialist/Technologist | 122 Princess Drive, Ponte Vedra, FL 32081 | 2019-01-10 |
| 1609364884 | Turner Telemedicine, Pllc | Family Medicine | 102 Queensland Cir, Ponte Vedra, FL 32081 | 2018-04-24 |
| 1649705914 | Catherine Julia Seidle | Nurse Practitioner | 20 Rialto Drive, Ponte Vedra, FL 32081 | 2017-04-25 |
| 1366988743 | Comfortable Care Dental Health Professionals, Pa | Dentist | 685 Crosswater Parkway, Suite A, Ponte Vedra Beach, FL 32081 | 2017-01-10 |
| 1053776872 | Brittany Jones | Social Worker | 98 Skylar Lane, Ponte Vedra, FL 32081 | 2015-12-21 |
| Find all providers in zip 32081 | ||||
| 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 |
|---|---|---|---|---|
| 1467072140 | Lyndsey Ingram | Physical Therapist | 509 Portsmouth Bay Ave, Ponte Vedra, FL 32081-1539 | 2020-04-22 |
| 1285015024 | Michael Derry | Physical Therapist | 131 Valley Grove Dr, Ponte Vedra, FL 32081-6165 | 2015-06-17 |
| 1912310285 | Brandi Renfro | Physical Therapist | 78 Sunburst Ct, Ponte Vedra, FL 32081-0147 | 2014-06-04 |
| 1548570278 | Lilibeth R Carey | Physical Therapist | 313 Royal Lake Dr, Ponte Vedra, FL 32081-4393 | 2010-10-15 |
| 1205066263 | Tori S Miller | Physical Therapist | 22 Bermuda Greens Ave, Ponte Vedra, FL 32081-4370 | 2009-07-23 |
| 1669656443 | Laura Ann Kasych | Physical Therapist | 24532 Deer Trace Dr, Ponte Vedra, FL 32082-2111 | 2007-12-28 |
| 1700916210 | Alissa Martin | Physical Therapist | 705 Boardwalk Dr Apt 412, Ponte Vedra, FL 32082-6251 | 2007-03-06 |
| 1598710741 | Debra Depto | Physical Therapist | 60 Perdido Key Ct, Ponte Vedra, FL 32081-0545 | 2006-05-24 |
| 1225649122 | Elyse Mackenzie Warren | Physical Therapist | 232 Ponte Vedra Park Dr, Ponte Vedra, FL 32082-6600 | 2020-08-13 |
| 1659994911 | Revision Health Services, Pllc | Physical Therapist | 131 Valley Grove Dr, Ponte Vedra, FL 32081-6165 | 2020-05-21 |
| Find all providers in PONTE VEDRA | ||||
| City | PONTE VEDRA |
| Zip Code | 32081 |
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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.