AEGIS GROUP PRACTICE LLC (NPI# 1366900136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366900136 |
Entity Type | Organization |
Organization Name | AEGIS GROUP PRACTICE LLC |
Practice Address |
1330 W Lincoln Ave Port Washington WI 53074-2050 |
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 |
Street Address |
1330 W LINCOLN AVE |
City | PORT WASHINGTON |
State | WI |
Zip Code | 53074-2050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407477425 | Hsl 3, LLC | Assisted Living Facility | 1330 W Lincoln Ave, Port Washington, WI 53074-2050 | 2020-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
Find all providers in zip 53074 |
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 |
---|---|---|---|---|
1922508035 | Julie M Coulson | Physical Therapist | 8330 Tschudy Hill Rd Sw, Port Washington, OH 43837-9200 | 2018-02-15 |
1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
1427445576 | Zulmary Andino | Physical Therapist | 45 Dunwood Rd, Port Washington, NY 11050-1635 | 2015-04-15 |
1184017246 | Dana Silbert | Physical Therapist | 40 Wakefield Ave, Port Washington, NY 11050-4443 | 2015-03-13 |
1831534304 | Joann Kinneary | Physical Therapist | 84 Roger Dr, Port Washington, NY 11050-2528 | 2013-05-09 |
1699052076 | Clare H Larosa | Physical Therapist | 1474 Middle Neck Rd, Port Washington, NY 11050-1918 | 2011-11-14 |
1669769311 | Sonal Deepak Doshi | Physical Therapist | 78 Bogart Ave, Port Washington, NY 11050-3320 | 2011-07-01 |
1164714200 | Sibylle K. Garrett, Physical Therapy, P.C. | Physical Therapist | 27 Dunwood Rd, Port Washington, NY 11050-1638 | 2011-05-09 |
1518268333 | Elizabeth Papa Simons | Physical Therapist | 38 Beachway, Port Washington, NY 11050-3408 | 2010-11-10 |
1245530963 | Jody A Lograsso | Physical Therapist | 9 Hawthorne Ave, Port Washington, NY 11050-4410 | 2010-10-27 |
Find all providers in PORT WASHINGTON |
City | PORT WASHINGTON |
Zip Code | 53074 |
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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.