Aegis Group Practice LLC
Organization Active NPI Physical Therapist · Ridgeland, MS
NPI 1881271302 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1881271302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AEGIS GROUP PRACTICE LLC
- Practice address
- 619 Highland Colony Pkwy
Ridgeland, MS 39157-8786 - Phone
- (800) 444-6845
- Fax
- (479) 478-2852
- NPI assigned
- Mar 29, 2021
- Organization subpart
- No
Authorized official
- Name
- Britt Jeffcoat
- Title
- Senior VP
- Phone
- (972) 372-6799
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 23
Corporate family (same tax ID) 2
Member of 1
Practitioners 404
-
Cecelia Annita Brown, P.T.
-
Tyshianna B Edwards, OTD
-
Caroline Gordy Fountain, PHYSICAL THERAPIST
-
Emily Harrison, OT
-
Amy Livingston, MS, CCC-SLP
-
Connie W Moore, PT
-
Niki T.S Singletary, MPT
-
Trica Johanna-Regalado D'Spain, PT, DPT, TPS
-
Sarah Ross, M.S. CCC-SLP
-
Emily Y Sloan, SPEECH LANGUAGE PATH
-
Abbie Chadwick, SLP
-
Jada Brooks, DPT
-
Emily Brooks Freeman, OTR/L
-
Jasmine Martin Smith, PT, DPT
-
Feshondra Fereca Mone Tripp, MOTR/L
-
Julie L Scarpace, P.T.
-
Martha Louise Adams, MA,CCC-SLP
-
Jill Marie Adlon, PT
-
Omolara Ajayi, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160126001261 | MS | Part B Supplier - Clinic/Group Practice | 5193036432 |
Receives reassigned benefits from 20 practitioners 1 other NPI on this enrollment Practice locations: Ridgeland, MS; Olive Branch, MS |
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
619 Highland Colony Pkwy
Ridgeland, MS 39157-8786
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Phone (972) 372-6779
Other providers in Ridgeland, MS
- Advance Medical House Calls
- Advanced Chiropractic Clinic
- Advanced Medical LLC
- Advanced Medical, LLC
- Advanced Medical, LLC
- Aegis Group Practice LLC
- Affordable Sitter Service LLC
- Agilitas USA, Inc.
- Patricia Ainsworth
- Brenda Diane Akporoguafe
All providers in Ridgeland, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 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.