Aegis Group Practice LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

AEGIS GROUP PRACTICE LLC

Practice address

762 N Main St
Alpharetta, GA 30009-2376

Phone

(479) 201-2000

Fax

(479) 201-4801

NPI assigned

Jun 29, 2016

Organization subpart

Yes

Parent organization

AEGIS THERAPIES, INC.As reported in NPPES

Name

Mrs. Holly Rasmussen-Jones

Title

Secretary

Phone

(479) 201-2000

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

• Aegis Group Practice LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1013378256

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1023548583

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Occupational Therapist
  • Johns Creek, GA
  • NPI 1083097075

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Occupational Therapist
  • Roswell, GA
  • NPI 1083097992

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Occupational Therapist
  • Atlanta, GA
  • NPI 1083148985

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Decatur, GA
  • NPI 1154994424

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1174028526

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Blairsville, GA
  • NPI 1194255653

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Occupational Therapist
  • Newnan, GA
  • NPI 1215389036

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Woodstock, GA
  • NPI 1215512173

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Occupational Therapist
  • Macon, GA
  • NPI 1235648957

  O20150916001644

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Suwanee, GA
  • NPI 1295412773

  O20150916001644

  Same enrollment

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

• Alyson Kimbrell Repko, DPT

  • Physical Therapist
  • Johns Creek, GA
  • NPI 1194124891
  NPD

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Aegis

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2016.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1477904688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FIANNA WAY",
            "address_2": "#MD4843",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729194843",
            "telephone_number": "479-201-2000",
            "fax_number": "479-201-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 N MAIN ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092376",
            "telephone_number": "479-201-2000",
            "fax_number": "479-201-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS GROUP PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEGIS THERAPIES, INC.",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN-JONES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-201-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Alpharetta, GA
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.