NPIMap

Organization Active NPI

Aegis Health Partners, P.C.

Doing business as Aegis Chiropractic & Physical Therapy

  • Physical Therapist
  • Hadley, MA
National Provider Identifier
1508087024
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15956 Issued in MA
Legal business name
AEGIS HEALTH PARTNERS, P.C.
Doing business as
Aegis Chiropractic & Physical Therapy
Practice address
241 Russell St
Hadley, MA 01035-9558
Phone
(413) 586-5552
Fax
(413) 586-3330
NPI assigned
May 1, 2007
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Lisa L Sanderson, M.S., P.T.NPI 1093706384
Title
President-Owner
Phone
(413) 586-5552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2745 MA
Physical Therapist 225100000X 15956 MA Primary

Addresses

Primary practice location

241 Russell St
Hadley, MA 01035-9558

Mailing address

241 Russell St
Hadley, MA 01035-9558
Phone (413) 586-5552

Other names 1

  • Aegis Chiropractic & Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001514 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042281867 Receives reassigned benefits from 3 practitioners
Practice locations: Hadley, MA

National Provider Directory

National Provider Directory
Tax ID family
Aegis Health Partners PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

241 Russell St
Hadley, MA 01035
Phone (413) 335-4381

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1508087024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359558",
            "telephone_number": "413-586-5552",
            "fax_number": "413-586-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359558",
            "telephone_number": "413-586-5552",
            "fax_number": "413-586-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS HEALTH PARTNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "413-586-5552",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2745",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Chiropractic & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.