| Aegis Group Practice Llc | |
|
8360 Cason Rd, Gladstone, OR 97027-6413 | |
| (800) 444-6845 | |
| (479) 478-2852 |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 8360 Cason Rd, Gladstone, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902505001 | NPI | - | NPPES |
| Provider Name | Jessica Kay Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245389782 PECOS PAC ID: 6103071915 Enrollment ID: I20190214000666 |
| Provider Name | Mini Gupta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215443999 PECOS PAC ID: 7416388137 Enrollment ID: I20200513002536 |
| Provider Name | Brianne C Salvati |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275970634 PECOS PAC ID: 9335569334 Enrollment ID: I20201013001688 |
| Provider Name | Katie K Quartieri |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588917843 PECOS PAC ID: 1456752468 Enrollment ID: I20230228002687 |
| Provider Name | Marsha L Dougherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760622286 PECOS PAC ID: 0244476760 Enrollment ID: I20230510002967 |
| Provider Name | Allison K Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467958173 PECOS PAC ID: 1658737135 Enrollment ID: I20230708000125 |
| Provider Name | Lisa S Wolf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760633408 PECOS PAC ID: 7911391016 Enrollment ID: I20230719001737 |
| Provider Name | Nicole Schweitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093436990 PECOS PAC ID: 0840676839 Enrollment ID: I20240207004115 |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Group Practice Llc 2601 Network Blvd Ste 102, Frisco, TX 75034-9092 Ph: (972) 372-6779 | Aegis Group Practice Llc 8360 Cason Rd, Gladstone, OR 97027-6413 Ph: (800) 444-6845 |
Diane Y. Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 E Hereford St, Gladstone, OR 97027 Phone: 503-656-0393 | |
Gregory Thomas Bangs, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 495 W Arlington St, Gladstone, OR 97027 Phone: 971-233-0309 | |
Cyd Lorry Dashkoff, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19759 River Rd Apt H, Gladstone, OR 97027 Phone: 503-505-0239 | |
Dr. Katherine June Ludington, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 495 W Arlington St, Gladstone, OR 97027 Phone: 971-233-0309 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8330 Cason Rd, Gladstone, OR 97027 Phone: 800-444-6845 Fax: 479-478-2852 | |
Preston Ray Frase, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 E Hereford St, Gladstone, OR 97027 Phone: 503-656-0393 |