Aegis Group Practice LLC
Organization Active NPI Physical Therapist · Santa Barbara, CA
NPI 1649933441 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1649933441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AEGIS GROUP PRACTICE LLC
- Practice address
- 227 E Anapamu St
Santa Barbara, CA 93101-2005 - Phone
- (800) 444-6845
- Fax
- (479) 478-2852
- NPI assigned
- Oct 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Britt Jeffcoat
- Title
- Senior VP
- Phone
- (972) 372-6799
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 23
Corporate family (same tax ID) 3
Practitioners 406
-
Christine Roth, PT
-
Alex Withrow, OTD, OTR/L, CNS
-
Xu Jun Feng, PT
-
David Hug, PT
-
Luke Makler, DPT
-
Sarah Jean Zabek, OTR
-
Martha Louise Adams, MA,CCC-SLP
-
Jill Marie Adlon, PT
-
Omolara Ajayi, PT
-
Rachel Leann Alstott, CCC-SLP
-
Rachel Alvarez, OTR/L
-
Tiffany Arney, DPT
-
Susan Lynn Averitt, OTR
-
Michelle Baker, PT
-
Elizabeth Harvey Baldwin, OTR/L
-
Kate Teresa Barbaglia, OTRL
-
Carmen Barclay, P.T
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211229002141 | CA | Part B Supplier - Clinic/Group Practice | 5193036432 |
Receives reassigned benefits from 8 practitioners 5 other NPIs on this enrollment Practice locations: Glendale, CA; La Quinta, CA; Santa Barbara, CA |
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
227 E Anapamu St
Santa Barbara, CA 93101-2005
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Phone (972) 372-6799
Other providers in Santa Barbara, CA
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- Advanced Reproductive Technologies of Santa Barbara, LLC
- Advanced Respiratory Therapy LLC
- Aegis Treatment Centers
- Aegis Treatment Centers
- Aegis Treatment Centers
- Aegis Treatment Centers, LLC
- Aegis Treatment Centers, LLC
All providers in Santa Barbara, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 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.