Aegis Group Practice LLC
Organization Active NPI Physical Therapist · Plattsmouth, NE
NPI 1124796735 · NPPES record last updated Aug 31, 2021
Key facts
- NPI
- 1124796735
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AEGIS GROUP PRACTICE LLC
- Practice address
- 1913 Old Highway 34
Plattsmouth, NE 68048-4249 - Phone
- (800) 444-6845
- Fax
- (479) 478-2852
- NPI assigned
- Aug 31, 2021
- Organization subpart
- No
Authorized official
- Name
- Britt Jeffcoat
- Title
- Senior VP
- Phone
- (972) 372-6799
Other NPIs on the same Medicare enrollment 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210810001929 | NE | Part B Supplier - Clinic/Group Practice | 5193036432 |
Receives reassigned benefits from 17 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Omaha, NE |
National Provider Directory
Locations
1913 Old Highway 34
Plattsmouth, NE 68048
Phone (402) 296-5133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
1913 Old Highway 34
Plattsmouth, NE 68048-4249
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Phone (972) 372-6779
Other providers in Plattsmouth, NE
- A & J Industries LLC
- Sharon Ann Andersen
- Shelbie Andersen
- Noelle Anson
- Valerie Ann Armstrong
- Back to the Basics Chiropractic P.C.
All providers in Plattsmouth, NE · Physical Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.