| Aegis Group Practice Llc | |
|
1920 Maple Ave, Lisle, IL 60532-2179 | |
| (800) 444-6845 | |
| (479) 478-2852 |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1920 Maple Ave, Lisle, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275259798 | NPI | - | NPPES |
| Provider Name | Holly R Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689673410 PECOS PAC ID: 3971405416 Enrollment ID: I20040123000931 |
| Provider Name | Julie A Roper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952402356 PECOS PAC ID: 4082673272 Enrollment ID: I20041004001036 |
| Provider Name | Courtney L Neal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184731085 PECOS PAC ID: 3577563089 Enrollment ID: I20070108000194 |
| Provider Name | Erica L Frangiamore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154569291 PECOS PAC ID: 5294882981 Enrollment ID: I20090415000540 |
| Provider Name | Teddy Hsu |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235403577 PECOS PAC ID: 2769638824 Enrollment ID: I20120807000054 |
| Provider Name | Carolyn Hunt Boucher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881890994 PECOS PAC ID: 4587960166 Enrollment ID: I20160308001169 |
| Provider Name | Joannette Lorenzetti |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730540501 PECOS PAC ID: 1850698440 Enrollment ID: I20160325000605 |
| Provider Name | Jill K Patrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174902225 PECOS PAC ID: 8527324789 Enrollment ID: I20171106000417 |
| Provider Name | Carla Piggee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609356658 PECOS PAC ID: 9830420157 Enrollment ID: I20191017000049 |
| Provider Name | Tanner Benson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194197806 PECOS PAC ID: 1557774692 Enrollment ID: I20210108000942 |
| Provider Name | Brandy D Trobaugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912151598 PECOS PAC ID: 2163837675 Enrollment ID: I20210216000674 |
| Provider Name | Regina Schlicksup-johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326392325 PECOS PAC ID: 0547662918 Enrollment ID: I20210707002759 |
| Provider Name | Sonal Bhandari |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629382759 PECOS PAC ID: 0648677161 Enrollment ID: I20210927002366 |
| Provider Name | Sheree Ann Laureles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548509516 PECOS PAC ID: 5496123549 Enrollment ID: I20221121001153 |
| Provider Name | Allan Marinas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104374701 PECOS PAC ID: 1759750367 Enrollment ID: I20221202002150 |
| Provider Name | Nicole Kostecki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083966881 PECOS PAC ID: 8921478439 Enrollment ID: I20221227002053 |
| Provider Name | Melissa A Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003272550 PECOS PAC ID: 8022488832 Enrollment ID: I20230111002380 |
| Provider Name | Malini R Claussen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437481595 PECOS PAC ID: 3779953500 Enrollment ID: I20230112000120 |
| Provider Name | Jessica Janelle Waters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689836793 PECOS PAC ID: 6800248238 Enrollment ID: I20240122000629 |
| Provider Name | Jenny M Blankenberger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245589209 PECOS PAC ID: 6305298761 Enrollment ID: I20240122002023 |
| Provider Name | Lauren E Keehn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831639558 PECOS PAC ID: 8820440134 Enrollment ID: I20240122004034 |
| Provider Name | Amanda S Hade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083462592 PECOS PAC ID: 1658713995 Enrollment ID: I20240531001379 |
| Provider Name | Suzanne Marie Gillund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487400420 PECOS PAC ID: 9234678715 Enrollment ID: I20240828002564 |
| Provider Name | Alexander Demmers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962211102 PECOS PAC ID: 4183144785 Enrollment ID: I20250226002586 |
| 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 1920 Maple Ave, Lisle, IL 60532-2179 Ph: (800) 444-6845 |
Melissa Myers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 450 Warrenville Rd, Apt 232, Lisle, IL 60532 Phone: 815-822-8041 | |
Dr. Megan J Rossi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Route 53, Suite A, Lisle, IL 60532 Phone: 630-434-0271 Fax: 630-515-1536 | |
Dr. Carrie Skony, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3080 Ogden Ave Ste 202, Lisle, IL 60532 Phone: 630-290-5169 | |
Prana Manual Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4513 Lincoln Ave Ste 103, Lisle, IL 60532 Phone: 630-730-5642 | |
Daniel J Loch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2111 Ohio St, Lisle, IL 60532 Phone: 815-351-8246 | |
Emily Catherine Sproat, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 430 Warrenville Rd Ste 310, Lisle, IL 60532 Phone: 630-967-2000 | |
Dr. Rosen Gerald Gavino, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1026 Maple Ave., Lisle, IL 60532 Phone: 630-434-0271 Fax: 630-434-0938 |