AEGIS GROUP PRACTICE LLC (NPI# 1417340126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417340126 |
| Entity Type | Organization |
| Organization Name | AEGIS GROUP PRACTICE LLC |
| Practice Address |
1000 Fianna Way Legal Dept - Md 4840 Fort Smith AR 72919-4840 |
| Practice Telephone | 4792014840 |
| Mailing Telephone | 4792014840 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | HOLLY RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | AEGIS GROUP PRACTICE LLC | 5220 Tennyson Pkwy Ste 400, Plano, Texas 75024 |
| Street Address |
1000 FIANNA WAY LEGAL DEPT - MD 4840 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72919-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356456834 | Ceres Strategies Medical Services, LLC | Durable Medical Equipment & Medical Supplies | 1000 Fianna Way, Fort Smith, AR 72919-0001 | 2006-08-21 |
| 1235582594 | Dominic Trapp | Rehabilitation Unit | 1000 Fianna Way, Fort Smith, AZ 72919 | 2016-07-21 |
| 1831562594 | Suzan Cooper | Physical Therapist | 1000 Fianna Way, Fort Smith, AR 72919-9008 | 2015-11-03 |
| 1083966352 | Aegis Therapies | Nursing Facility/Intermediate Care Facility | 1000 Fianna Way, Fort Smith, AR 72919-9008 | 2012-10-10 |
| 1548522923 | Prime By Aseracare LLC | Emergency Medicine | 1000 Fianna Way, Fort Smith, AR 72919-9008 | 2012-06-12 |
| 1003112905 | Randall Scott Decker | Physical Therapy Assistant | 1000 Fianna Way, Fort Smith, AR 72919 | 2011-02-10 |
| 1942442363 | Mischa Craig | Speech-Language Pathologist | 1000 Fianna Way, Fort Smith, AR 72919-9008 | 2009-03-31 |
| 1750534269 | Angela Balascak | Pharmacist | 1000 Fianna Way, Fort Smith, AR 72919-6987 | 2008-10-28 |
| 1346420015 | Aegis Therapies, Inc. | Physical Therapist | 1000 Fianna Way, Fort Smith, AR 72919-0001 | 2007-11-09 |
| 1538386818 | Barbara Christensen | Occupational Therapist | 1000 Fianna Way, Fort Smith, AR 72919-0001 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285197780 | Jessica Hare | Physical Therapy Assistant | 1000 Syianna Way, Fort Smith, AR 72919-0001 | 2019-04-11 |
| 1275736142 | Trina Marie White | Dietitian, Registered | 1001 Towson Ave, Fort Smith, AR 72919-0001 | 2007-06-07 |
| 1740429943 | Cynthia L. Crocker | Community Health Worker | 1000 Fianna Way # Md3881, Fort Smith, AR 72919-9008 | 2009-02-11 |
| 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 |
|---|---|---|---|---|
| 1295360253 | Edward Hickman | Physical Therapist | 11735 Old Highway 71 Ste 101, Fort Smith, AR 72916-7023 | 2020-03-10 |
| 1619329646 | Winchell Chow | Physical Therapist | 8100 Yorktown Rd, Fort Smith, AR 72903-5142 | 2016-07-01 |
| 1417319849 | Sarah Brooks | Physical Therapist | 910 S Greenwood Ave, Fort Smith, AR 72901-4130 | 2016-03-24 |
| 1841605631 | Jill Michelle Womack | Physical Therapist | 6601 Phoenix Ave Ste B, Fort Smith, AR 72903-5092 | 2014-06-30 |
| 1386960771 | Dustin Wayne Beeson | Physical Therapist | 4800 Saint Andrews Way, Fort Smith, AR 72903-3574 | 2010-04-12 |
| 1366612137 | Karen Ratliff | Physical Therapist | 8520 S 36th Ave, Stein Ancillary Services, Fort Smith, AR 72908-8880 | 2008-03-07 |
| 1831380328 | Joni L Heffron | Physical Therapist | 515 N 7th St, Fort Smith, AR 72901-2015 | 2007-08-08 |
| 1386860831 | Roger Lee Broomfield | Physical Therapist | 11918 Springridge Dr, Fort Smith, AR 72916-8189 | 2007-04-17 |
| 1417008160 | Cory Vanmeter | Physical Therapist | 4008 Colton Dr, Fort Smith, AR 72903-6350 | 2007-01-16 |
| 1861443970 | Mary Y Parker | Physical Therapist | 4500 Towson Ave, Suite L0la, Fort Smith, AR 72901-7994 | 2006-05-13 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72919 |
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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.