Aegis Group Practice LLC
Organization Active NPI Physical Therapist · Brownsburg, IN
NPI 1548088289 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1548088289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AEGIS GROUP PRACTICE LLC
- Practice address
- 250 E Northfield Dr
Brownsburg, IN 46112-1097 - Phone
- (479) 201-6091
- NPI assigned
- Oct 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Tracy McCall
- Title
- Credentialing
- Phone
- (479) 201-6091
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201023002377 | IN | Part B Supplier - Clinic/Group Practice | 5193036432 |
Receives reassigned benefits from 55 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rochester, IN; Plainfield, IN; Jeffersonville, IN; Indianapolis, IN; Greencastle, IN; Fort Wayne, IN; Charlestown, IN; Brownsburg, IN… |
National Provider Directory
- Tax ID family
- Aegis Group Practice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
250 E Northfield Dr
Brownsburg, IN 46112-1097
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Other providers in Brownsburg, IN
- Courtney Anne Adkins
- Jennifer Adolay
- Adonai Healing Services LLC
- Kaitlin Adrian
- Aegis Community Care LLC
- Age in Place Indiana
- Viviana Aguilar
- Odunayo Akinbi
- Modupeola Christianah Akinjolire
- Temitope Akintomide
All providers in Brownsburg, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. 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.