Aegis Group Practice, Llc - Medicare Occupational Therapist in Menomonee Falls, WI

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Aegis Group Practice, Llc is a medicare enrolled "Occupational Therapist" provider in Menomonee Falls, Wisconsin. Their current practice location is W129n6889 Northfield Dr, Menomonee Falls, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (479) 201-2000.

Aegis Group Practice, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Aegis Group Practice, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1275073363.

Contact Information

Aegis Group Practice, Llc
W129n6889 Northfield Dr,
Menomonee Falls, WI 53051-0518
(479) 201-2000
(479) 201-4801

Map and Direction




Healthcare Provider's Profile

Full NameAegis Group Practice, Llc
TypeFacility
SpecialityOccupational Therapist
LocationW129n6889 Northfield Dr, Menomonee Falls, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275073363
  • Provider Enumeration Date: 03/08/2017
  • Last Update Date: 04/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5193036432
  • Enrollment ID: O20170614002978

Medical Identifiers

Medical identifiers for Aegis Group Practice, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275073363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Primary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Aegis Group Practice, Llc acts as a billing entity for following providers:
Provider NameBrianne Jeras
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801981782
PECOS PAC ID: 2860490729
Enrollment ID: I20061201000290
Provider NameLanan Rae Dixon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104038165
PECOS PAC ID: 1850489956
Enrollment ID: I20071126000356
Provider NameColleen S Walz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609045301
PECOS PAC ID: 2264518414
Enrollment ID: I20080327000678
Provider NameJennifer Lee Kolonich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326270471
PECOS PAC ID: 5991843252
Enrollment ID: I20091109000028
Provider NameMiranda S Schulenberg
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1720387467
PECOS PAC ID: 5496939647
Enrollment ID: I20110412000869
Provider NameMelissa A Albrecht
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780870238
PECOS PAC ID: 1355529678
Enrollment ID: I20110708000400
Provider NameJacqueline C Southard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962795021
PECOS PAC ID: 3072782739
Enrollment ID: I20110815000259
Provider NameTara R Dull
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104016385
PECOS PAC ID: 3870714082
Enrollment ID: I20141031000040
Provider NameTiffany M Arney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699925321
PECOS PAC ID: 1052633856
Enrollment ID: I20141205001414
Provider NamePeter K Grande
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942638572
PECOS PAC ID: 5193034650
Enrollment ID: I20151022002850
Provider NameJoshua J Dahlke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477747020
PECOS PAC ID: 6305147653
Enrollment ID: I20151210002558
Provider NameChristina M Leuzzo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174758551
PECOS PAC ID: 7416241120
Enrollment ID: I20160803001351
Provider NameJesse Hoffmeister
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1083050660
PECOS PAC ID: 8224323712
Enrollment ID: I20160823001729
Provider NameSandra K Seuser
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225245848
PECOS PAC ID: 5890083109
Enrollment ID: I20161019000391
Provider NameCharlotte R Steckelberg
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1538327564
PECOS PAC ID: 7315226578
Enrollment ID: I20161111000785
Provider NameMegan K Cassidy
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043748890
PECOS PAC ID: 8426326927
Enrollment ID: I20170623001162
Provider NameTroy A Hurst
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003330382
PECOS PAC ID: 1052685062
Enrollment ID: I20170914001337
Provider NameCynthia Treat
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689876906
PECOS PAC ID: 1951677236
Enrollment ID: I20171101001784
Provider NameLisa A Phillips
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306214457
PECOS PAC ID: 0446510804
Enrollment ID: I20180201003024
Provider NameStephanie E Schuldes
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1568819761
PECOS PAC ID: 6709147333
Enrollment ID: I20180222002603
Provider NameNelly M Paul
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306292289
PECOS PAC ID: 9133480254
Enrollment ID: I20180305002531
Provider NameKyle A Kreul
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588012793
PECOS PAC ID: 0547523920
Enrollment ID: I20180417002592
Provider NameMichelle M Kiefer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144658592
PECOS PAC ID: 5698030799
Enrollment ID: I20180604001542
Provider NameAmanda Nimz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912431511
PECOS PAC ID: 5799033403
Enrollment ID: I20180810002765
Provider NameZachary R Ellis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134630536
PECOS PAC ID: 3072861376
Enrollment ID: I20180815001193
Provider NameKathy J Curtis-waddell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1487721528
PECOS PAC ID: 5698024032
Enrollment ID: I20180820000282
Provider NameKristine A Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841782596
PECOS PAC ID: 0840544300
Enrollment ID: I20181119003414
Provider NameElizabeth A Pederson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669622411
PECOS PAC ID: 2860738143
Enrollment ID: I20190108000328
Provider NameKimberly J Schumacher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285076943
PECOS PAC ID: 9537301676
Enrollment ID: I20190320003317
Provider NameCatherine J Demers
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053357814
PECOS PAC ID: 4789926460
Enrollment ID: I20190429002210
Provider NameJacqueline M Nicholson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114430725
PECOS PAC ID: 5496089591
Enrollment ID: I20190624002265
Provider NameKathleen S Fons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952952723
PECOS PAC ID: 3476884859
Enrollment ID: I20191016001860
Provider NameRose Tilton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598140683
PECOS PAC ID: 6608208889
Enrollment ID: I20191108000182
Provider NameJean Allen E Verdaguer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1215581871
PECOS PAC ID: 5193157113
Enrollment ID: I20191113001788
Provider NameShannon M Coulter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134338890
PECOS PAC ID: 7517399173
Enrollment ID: I20191120000524
Provider NameSara R Scheel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1518158195
PECOS PAC ID: 0547693939
Enrollment ID: I20191125001563
Provider NameNichole Renae Cruse
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497304414
PECOS PAC ID: 1153755194
Enrollment ID: I20191227000025
Provider NameCallie J Huft
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1558728477
PECOS PAC ID: 2567897119
Enrollment ID: I20200109000211
Provider NameKyle T Kirst
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1790248326
PECOS PAC ID: 8820427735
Enrollment ID: I20200327002306
Provider NameDerek R Peake
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073096426
PECOS PAC ID: 4587916473
Enrollment ID: I20200831000381
Provider NameTaylor J Husom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629693676
PECOS PAC ID: 6406275932
Enrollment ID: I20201001001776
Provider NameCorey R Jacobs
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144834276
PECOS PAC ID: 9739509456
Enrollment ID: I20201020000205
Provider NameBrian T Bonk
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1942848387
PECOS PAC ID: 3779918248
Enrollment ID: I20201223001432
Provider NamePaul H Carlisle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790874485
PECOS PAC ID: 5395159826
Enrollment ID: I20210125002084
Provider NameJessica R Niemeier
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1457993248
PECOS PAC ID: 6103231519
Enrollment ID: I20210217001839
Provider NameCorrine N. Valiquette
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174048300
PECOS PAC ID: 6305252099
Enrollment ID: I20210303003024
Provider NameNicholas T Sawyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669706388
PECOS PAC ID: 3870996382
Enrollment ID: I20210721003148
Provider NameSharon C Templeton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1245809607
PECOS PAC ID: 5698170579
Enrollment ID: I20210817000471
Provider NameElisabeth Keller
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1174997258
PECOS PAC ID: 4486051653
Enrollment ID: I20210930002488
Provider NameEllen G Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902572571
PECOS PAC ID: 1254729585
Enrollment ID: I20211019002174
Provider NameRoseann Fasi
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053862763
PECOS PAC ID: 5597153536
Enrollment ID: I20211025002808
Provider NameLeah J Grinvalsky
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386259885
PECOS PAC ID: 2466840079
Enrollment ID: I20211102000493
Provider NameNatalia I Agapitova
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871167643
PECOS PAC ID: 0446649313
Enrollment ID: I20211115001726
Provider NameKari L Jensen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588868491
PECOS PAC ID: 1355730177
Enrollment ID: I20211117002185
Provider NameMichelle M Kastenholz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1386309086
PECOS PAC ID: 0840680674
Enrollment ID: I20211209000712
Provider NameRyan R Thyssen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245858521
PECOS PAC ID: 1951791664
Enrollment ID: I20211210001473
Provider NameMaria J Sundsted
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1508235490
PECOS PAC ID: 7618367285
Enrollment ID: I20211214002416
Provider NameOscar A Stiennon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558407866
PECOS PAC ID: 8527168129
Enrollment ID: I20211217001747
Provider NameChristian D Biegel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164913729
PECOS PAC ID: 9830580992
Enrollment ID: I20211228000388
Provider NameKayla J Beckwith
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659813079
PECOS PAC ID: 8628461514
Enrollment ID: I20220217002210
Provider NameWhitney J Kees
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821750845
PECOS PAC ID: 9436544863
Enrollment ID: I20220321001884
Provider NameCharity L Schroeder
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1275779068
PECOS PAC ID: 5496132300
Enrollment ID: I20220519002420
Provider NameKelly T Bach
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1932450814
PECOS PAC ID: 5092195099
Enrollment ID: I20220803003715
Provider NameMegan K Wirtz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1730750639
PECOS PAC ID: 2466835244
Enrollment ID: I20220811000245
Provider NamePaige Alexis Goodwin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1346977394
PECOS PAC ID: 0244615037
Enrollment ID: I20220914003038
Provider NameAmy Mannes
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194259291
PECOS PAC ID: 0840668331
Enrollment ID: I20221114002447
Provider NameJeannie Holden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952698359
PECOS PAC ID: 1951771872
Enrollment ID: I20230110000948
Provider NameCatherine V Jones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740461813
PECOS PAC ID: 6204130099
Enrollment ID: I20230220000799
Provider NameJamie K Hanson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780184325
PECOS PAC ID: 0143582197
Enrollment ID: I20230306000106
Provider NameTina C Heikens
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215193131
PECOS PAC ID: 4385784024
Enrollment ID: I20230328001278
Provider NameMindy A Hodgell
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1356755995
PECOS PAC ID: 7810361169
Enrollment ID: I20230328001297
Provider NameCheryl A Robillard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225213390
PECOS PAC ID: 3274908116
Enrollment ID: I20230407000489
Provider NameZachary W Smith
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1619679271
PECOS PAC ID: 4789049792
Enrollment ID: I20230426002728
Provider NameSarah Bentrude
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144840216
PECOS PAC ID: 0840657979
Enrollment ID: I20230606001178
Provider NameKim G Hermans
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1669627220
PECOS PAC ID: 7719344605
Enrollment ID: I20230608001016
Provider NameJennifer Gatton
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1811534514
PECOS PAC ID: 2062847270
Enrollment ID: I20230914002320
Provider NameCristina C Essola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972949667
PECOS PAC ID: 2860847076
Enrollment ID: I20231009001015
Provider NameTyese A Kazee
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821873217
PECOS PAC ID: 5890141667
Enrollment ID: I20231031000848
Provider NameMargaret L Olson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144993098
PECOS PAC ID: 8325494115
Enrollment ID: I20231031001429
Provider NameSusan J Martinez
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1861644478
PECOS PAC ID: 4486814654
Enrollment ID: I20231202000676
Provider NameLaura E Nissen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942082029
PECOS PAC ID: 4486003449
Enrollment ID: I20231215001517
Provider NameLuke Derek C Berdin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962978700
PECOS PAC ID: 6709235765
Enrollment ID: I20231215001741

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aegis Group Practice, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Aegis Group Practice, Llc
4933 Old Greenwood Rd,
Fort Smith, AR 72903-6906

Ph: (479) 201-6147		Aegis Group Practice, Llc
W129n6889 Northfield Dr,
Menomonee Falls, WI 53051-0518

Ph: (479) 201-2000

Reviews and Comments


Occupational Therapist in Menomonee Falls, WI

Mrs. Emily Anne Conger, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051
Phone: 262-255-1180    Fax: 262-255-2503
Kelly Jo Ketterhagen, MSOTR
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051
Phone: 262-255-7050    
Lauren Marie Boldt, OTR
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051
Phone: 262-255-1180    Fax: 262-255-1638
Alexander R Hendrickson, O.T.
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051
Phone: 608-252-2000    
Mrs. Mary Jane Kaczmarek, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051
Phone: 262-255-7050    Fax: 262-255-7834
Katelyn Harmon,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051
Phone: 262-532-1100    
Ms. Jamie L Mitchell, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051
Phone: 262-532-1100    Fax: 262-532-1409

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.