Aegis Therapies

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

3155 Issued in NE

Legal business name

AEGIS THERAPIES

Practice address

450 E 23Rd St
Fremont, NE 68025-2303

Phone

(402) 727-3800

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ashley Jean Fordyce, DPT

Title

Physical Therapist

Phone

(408) 727-3800

Specialties & licenses 1

Addresses

Other names 1

• Golden Living Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1336498971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-727-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252303",
            "telephone_number": "402-727-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "FORDYCE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-727-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ileana Acosta
• Rochelle R Adame
• Amie Adams
• J Michael Adams, MD
• Kayla Adams, PLMHP
• Affiliated Foot Clinics L.L.C.
• Albert Behavioral Health LLC (IHOPE Clinic)
• Steven D Alcorn, O.D.
• Nurlan Aliyev
• Ben Allen

• Nursing Facility/Intermediate Care Facility in Fremont, NE
• Providers in Fremont, NE by specialty
• Nursing Facility/Intermediate Care Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.