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Aegis Group Practice Llc

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

3660 Rca Blvd, Palm Beach Gardens, FL 33410-3228

PECOS Enrollment

Based on the most recent information from CMS, provider Aegis Group Practice Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1487474052
Provider Type
Organization
Full Name
Aegis Group Practice Llc

Subpart
No
Enumeration Date
10/16/2024
Last Updated
10/16/2024

Contact Information

Practice Location

3660 Rca Blvd, Palm Beach Gardens, FL 33410-3228

(479) 201-6091

Unlisted Fax

Mailing Location

4933 Old Greenwood Rd, Fort Smith, AR 72903-6906

(479) 201-6091

Unlisted Fax

Authorized Official

Mccall, Tracy (Credentialing)

(479) 201-6091

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 225X00000X	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 235Z00000X	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License Unlisted Issuer

Aegis Group Practice Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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