Aegis Group Practice, LLC
Organization Active NPI Physical Therapist · Greenville, SC
NPI 1821600735 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1821600735
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AEGIS GROUP PRACTICE, LLC
- Practice address
- 1306 Pelham Rd
Greenville, SC 29615-3600 - Phone
- (800) 444-6845
- NPI assigned
- Aug 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Michael McOlvin
- Title
- VP-Finance
- Phone
- (479) 201-2000
Other NPIs on the same Medicare enrollment 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200911000933 | SC | Part B Supplier - Clinic/Group Practice | 5193036432 |
Receives reassigned benefits from 6 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anderson, SC; Greenville, SC; Aiken, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
1306 Pelham Rd
Greenville, SC 29615-3600
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Phone (972) 372-6779
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All providers in Greenville, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. 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.