NPIMap

Aegis Group Practice LLC

Organization Active NPI Physical Therapist · Virginia Beach, VA

NPI 1043966864 · NPPES record last updated Mar 2, 2022

Key facts

NPI
1043966864
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
AEGIS GROUP PRACTICE LLC
Practice address
5417 Wesleyan Dr
Virginia Beach, VA 23455-6922
Phone
(757) 985-2091
Fax
(479) 401-2074
NPI assigned
Mar 2, 2022
Organization subpart
No

Authorized official

Name
Britt Jeffcoat
Title
Senior VP
Phone
(972) 372-6799

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 404

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 404

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220603001114 VA Part B Supplier - Clinic/Group Practice 5193036432 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Virginia Beach, VA

National Provider Directory

Tax ID family
Aegis Group Practice (204 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X

Addresses

Primary practice location

5417 Wesleyan Dr
Virginia Beach, VA 23455-6922

Mailing address

2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Phone (972) 372-6779

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.