Aegis Group Practice LLC
Organization Active NPI Physical Therapist · Delray Beach, FL
NPI 1770093049 · NPPES record last updated Oct 2, 2017
Key facts
- NPI
- 1770093049
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AEGIS GROUP PRACTICE LLC
- Practice address
- 5624 Linton Blvd
Delray Beach, FL 33484-6410 - Phone
- (800) 444-6845
- NPI assigned
- Oct 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Michael McOlvin
- Title
- VP - Finance
- Phone
- (479) 201-2000
Other NPIs on the same Medicare enrollment 24
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170720002185 | FL | Part B Supplier - Clinic/Group Practice | 5193036432 |
Receives reassigned benefits from 17 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Indian Harbour Beach, FL; Pensacola, FL |
National Provider Directory
Locations
1000 Fianna Way
#5740
Fort Smith, AR 72919
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
5624 Linton Blvd
Delray Beach, FL 33484-6410
Mailing address
1000 Fianna Way # Md5740
Fort Smith, AR 72919-9008
Phone (479) 201-6089
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All providers in Delray Beach, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2017. 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.