Aegis Group Practice Llc | |
13943 Highway 9 N, Milton, GA 30004-3239 | |
(479) 201-2000 | |
(479) 201-4801 |
Full Name | Aegis Group Practice Llc |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 13943 Highway 9 N, Milton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881142750 | NPI | - | NPPES |
Provider Name | Diane L Wright |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598834434 PECOS PAC ID: 7214911338 Enrollment ID: I20040616000666 |
Provider Name | Damon S Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710999099 PECOS PAC ID: 1850325341 Enrollment ID: I20050926000590 |
Provider Name | Donna Jenkins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790722023 PECOS PAC ID: 8729090170 Enrollment ID: I20060629000093 |
Provider Name | Christopher Culbreth |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619175395 PECOS PAC ID: 8022109644 Enrollment ID: I20070810000136 |
Provider Name | Donna L Jones |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164487021 PECOS PAC ID: 7911081526 Enrollment ID: I20080220000677 |
Provider Name | Jennifer Vistnes |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730242926 PECOS PAC ID: 6507044401 Enrollment ID: I20110623000649 |
Provider Name | Lauren Ryther |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710265137 PECOS PAC ID: 5395917934 Enrollment ID: I20111004000482 |
Provider Name | Susan Rose Garber |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881886869 PECOS PAC ID: 0941282446 Enrollment ID: I20130125000344 |
Provider Name | Quiana Fluellen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518209584 PECOS PAC ID: 3375780554 Enrollment ID: I20130507000297 |
Provider Name | Kimberly J. Mello |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861824542 PECOS PAC ID: 1658503057 Enrollment ID: I20140417002021 |
Provider Name | Alyson K Repko |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194124891 PECOS PAC ID: 3173846938 Enrollment ID: I20141231000299 |
Provider Name | Kimberly D Collins |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235522947 PECOS PAC ID: 3476860909 Enrollment ID: I20150916002091 |
Provider Name | Clarice M Ezeanya |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013253780 PECOS PAC ID: 9234376468 Enrollment ID: I20151020001785 |
Provider Name | Randall K Evans |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881809077 PECOS PAC ID: 7012218233 Enrollment ID: I20151214000298 |
Provider Name | Naga Kavitha Jampala |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356708366 PECOS PAC ID: 3173820081 Enrollment ID: I20160321000901 |
Provider Name | Nancy Cohen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558754895 PECOS PAC ID: 2961791223 Enrollment ID: I20160510001898 |
Provider Name | Payal K Desai |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780072439 PECOS PAC ID: 8527357458 Enrollment ID: I20160517001598 |
Provider Name | Megan Elizabeth Leuzarder |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174721583 PECOS PAC ID: 9638460371 Enrollment ID: I20160627002644 |
Provider Name | Cindy M Oneal |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1902017791 PECOS PAC ID: 5597056291 Enrollment ID: I20160628001782 |
Provider Name | Cheries L Brule |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467420661 PECOS PAC ID: 3678698479 Enrollment ID: I20160809002099 |
Provider Name | Billy C Thompson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1720431679 PECOS PAC ID: 0648565937 Enrollment ID: I20160825001723 |
Provider Name | Kristen Platero |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346485323 PECOS PAC ID: 9436438231 Enrollment ID: I20161118001524 |
Provider Name | Melinda Jackson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972750073 PECOS PAC ID: 2163707654 Enrollment ID: I20170324000373 |
Provider Name | Loraine J Williammee |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861939860 PECOS PAC ID: 7113204082 Enrollment ID: I20170502000433 |
Provider Name | Soni Pelino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336571199 PECOS PAC ID: 8426328683 Enrollment ID: I20170720000656 |
Provider Name | Kathryn A Karlin |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1245391861 PECOS PAC ID: 1759653405 Enrollment ID: I20170816000818 |
Provider Name | Rachel D Malina |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417323627 PECOS PAC ID: 8820360456 Enrollment ID: I20170817000090 |
Provider Name | Mark Greenspan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801965074 PECOS PAC ID: 6103192992 Enrollment ID: I20171023001995 |
Provider Name | Shaherah Findlay |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831397116 PECOS PAC ID: 1850651423 Enrollment ID: I20180131001235 |
Provider Name | Rebecca Caroline Rubadou |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477985182 PECOS PAC ID: 7214297761 Enrollment ID: I20180201002213 |
Provider Name | Cherie Dempster |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699084053 PECOS PAC ID: 4789944182 Enrollment ID: I20180202001899 |
Provider Name | Hyun Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174072995 PECOS PAC ID: 8426303751 Enrollment ID: I20180609000131 |
Provider Name | John Ozoh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588167266 PECOS PAC ID: 1052388683 Enrollment ID: I20180612002987 |
Provider Name | Catherine C Love |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669996609 PECOS PAC ID: 9830446327 Enrollment ID: I20180713002618 |
Provider Name | Dhara Shah |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053772350 PECOS PAC ID: 9638477276 Enrollment ID: I20181018002982 |
Provider Name | Jihan N El-shabazz |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215323688 PECOS PAC ID: 6901142439 Enrollment ID: I20190103003330 |
Provider Name | Catherine Jansen Bowden |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1568939494 PECOS PAC ID: 8426396250 Enrollment ID: I20190220002059 |
Provider Name | Mamta Das |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629243621 PECOS PAC ID: 3173864071 Enrollment ID: I20190402001762 |
Provider Name | Ronald H Tolliver |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821188004 PECOS PAC ID: 4981780210 Enrollment ID: I20190521002219 |
Provider Name | Carson Wolf |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316449622 PECOS PAC ID: 9931464658 Enrollment ID: I20190605003054 |
Provider Name | Jason K Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487183034 PECOS PAC ID: 6305177346 Enrollment ID: I20191007000624 |
Provider Name | Jaime Melito |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881068526 PECOS PAC ID: 9335577402 Enrollment ID: I20200324001571 |
Provider Name | Maegan Krifchin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336766468 PECOS PAC ID: 9032539507 Enrollment ID: I20201022000148 |
Provider Name | Lawanda D Burrell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1053519033 PECOS PAC ID: 5193137784 Enrollment ID: I20201228000473 |
Provider Name | Elizabeth Gatchel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407452766 PECOS PAC ID: 0143633230 Enrollment ID: I20210111000529 |
Provider Name | Ruchika Bawa |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134442882 PECOS PAC ID: 1355756610 Enrollment ID: I20210218000930 |
Provider Name | Taylor T Mote |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114334059 PECOS PAC ID: 8729494117 Enrollment ID: I20210310000147 |
Provider Name | Anna L Tomes |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043856479 PECOS PAC ID: 5193132017 Enrollment ID: I20210322000077 |
Provider Name | Tonisha R Cherry |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497375950 PECOS PAC ID: 6901294107 Enrollment ID: I20211020001637 |
Provider Name | Ilise N Minus |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578061719 PECOS PAC ID: 4789073024 Enrollment ID: I20211108002556 |
Provider Name | Meghan C Strom |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1356079156 PECOS PAC ID: 1153798368 Enrollment ID: I20221101001038 |
Provider Name | Andrew B Maddox |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164081220 PECOS PAC ID: 6103151832 Enrollment ID: I20221208000325 |
Provider Name | Julie Fendley |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619517018 PECOS PAC ID: 2062883606 Enrollment ID: I20230119000536 |
Provider Name | Charmaine Claudine S Manalo |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538866744 PECOS PAC ID: 0941675797 Enrollment ID: I20230407001310 |
Provider Name | Candice L Goch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669725800 PECOS PAC ID: 8022478817 Enrollment ID: I20230712000343 |
Provider Name | Karen P Strawder |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1295373009 PECOS PAC ID: 7517316862 Enrollment ID: I20231212000983 |
Provider Name | Melissa M Ferris-ozkan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932557998 PECOS PAC ID: 6507219110 Enrollment ID: I20240131001003 |
Provider Name | Katherine A Lewis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780455949 PECOS PAC ID: 4284079393 Enrollment ID: I20240228003734 |
Provider Name | Rachel Rowland |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1730823188 PECOS PAC ID: 9234576638 Enrollment ID: I20240321000243 |
Provider Name | Kinley M Thomas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588743892 PECOS PAC ID: 9032558234 Enrollment ID: I20240422000587 |
Mailing Address | Practice Location Address |
---|---|
Aegis Group Practice Llc 1000 Fianna Way # Md4843, Fort Smith, AR 72919-4843 Ph: (479) 201-2000 | Aegis Group Practice Llc 13943 Highway 9 N, Milton, GA 30004-3239 Ph: (479) 201-2000 |
Kristen Julian, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15830 Winterfield Way, Milton, GA 30004 Phone: 404-668-5045 | |
Jemicah Mosby, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 385 Sablewood Dr, Milton, GA 30004 Phone: 770-377-7633 |