Aegis Group Practice LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AEGIS GROUP PRACTICE LLC

Practice address

7208 Van Dorn St
Lincoln, NE 68506-3651

Phone

(800) 444-6845

Fax

(479) 478-2852

NPI assigned

Aug 24, 2021

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Britt Jeffcoat

Title

Senior VP

Phone

(972) 372-6799

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Aegis Group Practice LLC

  • Physical Therapist
  • Plattsmouth, NE
  • NPI 1124796735

  O20210810001929

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Omaha, NE
  • NPI 1275395931

  O20210810001929

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Omaha, NE
  • NPI 1528735099

  O20210810001929

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Norfolk, NE
  • NPI 1841869666

  O20210810001929

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Omaha, NE
  • NPI 1962179432

  O20210810001929

  Same enrollment

Practitioners 1

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.

• Trent M Werner, PT

  • Physical Therapist
  • Lincoln, NE
  • NPI 1720570112
  NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1811664303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NETWORK BLVD STE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349092",
            "telephone_number": "972-372-6779",
            "fax_number": "479-668-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 VAN DORN ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063651",
            "telephone_number": "800-444-6845",
            "fax_number": "479-478-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "BRITT",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "972-372-6799"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Medical Imaging, LLC
• Advanced Open MRI, LLC
• Advanced Physical Therapy LLC
• Advanced Psychotherapy LLC
• Advanced Radiation Therapy and Oncology, PC
• Aep Chiropractic, LLC (InLine Chiropractic Clinic)
• Sheena Elizabeth Aesoph, PLADC
• Berivan Aezeden
• Affect Provider Group, P.S.C.
• Affordable Dentures - Lincoln, P.C.

• Physical Therapist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.