Aegis Group Practice, Llc | |
2580 Pine Island Rd, Hollywood, FL 33024-8582 | |
(479) 201-2000 | |
(479) 201-4801 |
Full Name | Aegis Group Practice, Llc |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 2580 Pine Island Rd, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740720002 | NPI | - | NPPES |
Provider Name | Daniel P Pierce |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982887147 PECOS PAC ID: 4486628401 Enrollment ID: I20040824001246 |
Provider Name | Scott Haefele |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144493776 PECOS PAC ID: 9335212166 Enrollment ID: I20080730000748 |
Provider Name | Jessica M Hosford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093967879 PECOS PAC ID: 9931232048 Enrollment ID: I20100726000907 |
Provider Name | Micah O Marazon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124300546 PECOS PAC ID: 3274707427 Enrollment ID: I20111128000184 |
Provider Name | Kathryn W Harris |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124400098 PECOS PAC ID: 2769790609 Enrollment ID: I20150926000150 |
Provider Name | Kevin R Reynolds |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235580309 PECOS PAC ID: 8325301088 Enrollment ID: I20180410001891 |
Provider Name | Maricel R Ronquillo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932342342 PECOS PAC ID: 5193877835 Enrollment ID: I20181024000100 |
Provider Name | Laurence P Aquino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982094108 PECOS PAC ID: 2466770011 Enrollment ID: I20181108001862 |
Provider Name | Kimberly L Mckinney |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851732218 PECOS PAC ID: 8426312505 Enrollment ID: I20181116000656 |
Provider Name | Susan K Rodman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528330719 PECOS PAC ID: 0941549380 Enrollment ID: I20190304000408 |
Provider Name | Hannah K Robbins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013476266 PECOS PAC ID: 2062745235 Enrollment ID: I20190604001278 |
Provider Name | Amy Martin Fossa |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518513779 PECOS PAC ID: 3072842053 Enrollment ID: I20190917002773 |
Provider Name | Gena D Rhodes |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1255731923 PECOS PAC ID: 3072844232 Enrollment ID: I20191021000027 |
Provider Name | Krista L Evans |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235761644 PECOS PAC ID: 0648177030 Enrollment ID: I20200402002789 |
Provider Name | Ginger Carol Kurmann |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104883438 PECOS PAC ID: 4385719012 Enrollment ID: I20200619002383 |
Provider Name | Rylee L Fiveash |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1265996458 PECOS PAC ID: 7810305497 Enrollment ID: I20210420001866 |
Provider Name | Emily J Eberly |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578162053 PECOS PAC ID: 3971990052 Enrollment ID: I20220419001680 |
Provider Name | Katherine M Lynch |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407190424 PECOS PAC ID: 2466837018 Enrollment ID: I20220916002931 |
Provider Name | Jennifer S Medina |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1346846318 PECOS PAC ID: 5092190256 Enrollment ID: I20220923002500 |
Provider Name | Dexter Lumaque |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710688387 PECOS PAC ID: 2668838012 Enrollment ID: I20230510001039 |
Provider Name | Mary H Alexandra |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1467237305 PECOS PAC ID: 7214382795 Enrollment ID: I20231018003829 |
Provider Name | Stephen Todd Shotts |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902688203 PECOS PAC ID: 0446608418 Enrollment ID: I20231201000098 |
Provider Name | Tina L Sosa |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750685913 PECOS PAC ID: 2264790864 Enrollment ID: I20240216001289 |
Provider Name | Allyson Strickland |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558033308 PECOS PAC ID: 1355722349 Enrollment ID: I20240415000057 |
Provider Name | Molly Bozeman Goodwin |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1174270789 PECOS PAC ID: 7517409527 Enrollment ID: I20240605003794 |
Mailing Address | Practice Location Address |
---|---|
Aegis Group Practice, Llc 1000 Fianna Way # Md4843, Fort Smith, AR 72919-9008 Ph: (479) 201-2000 | Aegis Group Practice, Llc 2580 Pine Island Rd, Hollywood, FL 33024-8582 Ph: (479) 201-2000 |
Ms. Mary Ellen Rittle, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2485 North Park Rd, Hollywood, FL 33021 Phone: 954-981-0584 Fax: 954-961-9524 | |
Rachel Minaie, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2736 Hollywood Blvd, Hollywood, FL 33020 Phone: 800-465-3203 | |
Dorith Gittler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 53 Ash Dr, Hollywood, FL 33026 Phone: 954-607-8223 | |
Ms. Margaret Previlon, MHS, OTR/L, CLT-LANA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Sheridan St, Suite J, Hollywood, FL 33021 Phone: 305-331-9261 Fax: 305-947-3146 | |
Ms. Eva Michelle Parker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 Washington St, Hollywood, FL 33021 Phone: 954-266-3042 Fax: 954-266-3043 | |
Lilian Shuster, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1090 Oysterwood St, Hollywood, FL 33019 Phone: 954-336-7096 | |
Benjamin Leubitz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4081 N 37th Ave, Hollywood, FL 33021 Phone: 954-243-7745 |