| Aegis Group Practice Llc | |
|
11909 Miracle Hills Dr, Omaha, NE 68154-4408 | |
| (800) 444-6845 | |
| (479) 478-2852 |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11909 Miracle Hills Dr, Omaha, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528735099 | NPI | - | NPPES |
| Provider Name | Angelo Michael Tablante |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902863913 PECOS PAC ID: 2365450566 Enrollment ID: I20060330000040 |
| Provider Name | Molly H Mikuls |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699982199 PECOS PAC ID: 8022314301 Enrollment ID: I20160311002295 |
| Provider Name | Abigail J Ashby |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760683916 PECOS PAC ID: 6406153121 Enrollment ID: I20160323002730 |
| Provider Name | Angie M Skiff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003269747 PECOS PAC ID: 1254626112 Enrollment ID: I20160817001830 |
| Provider Name | Gina M Seifert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437465077 PECOS PAC ID: 9638454275 Enrollment ID: I20170323000492 |
| Provider Name | Trent M Werner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720570112 PECOS PAC ID: 2264788322 Enrollment ID: I20210608000909 |
| Provider Name | Danelle J Jaeke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841510831 PECOS PAC ID: 6204238025 Enrollment ID: I20210715001680 |
| Provider Name | Sarah K Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558944348 PECOS PAC ID: 4880084078 Enrollment ID: I20211202000144 |
| Provider Name | Soyoung Park |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568611671 PECOS PAC ID: 5799163440 Enrollment ID: I20220608001408 |
| Provider Name | Levi M Clifton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871236141 PECOS PAC ID: 3375925076 Enrollment ID: I20220727002826 |
| Provider Name | Kyley C Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750863627 PECOS PAC ID: 4789050964 Enrollment ID: I20221012002649 |
| Provider Name | Kari L Weilage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841732419 PECOS PAC ID: 0547634446 Enrollment ID: I20230315002967 |
| Provider Name | Kirby Case |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679019368 PECOS PAC ID: 5193133692 Enrollment ID: I20230503002304 |
| Provider Name | Jessica Lynn Jenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063290518 PECOS PAC ID: 0648624585 Enrollment ID: I20230927001090 |
| Provider Name | Briana Christine Hoss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770260036 PECOS PAC ID: 5193175628 Enrollment ID: I20231227000194 |
| Provider Name | Jenna Leigh Holt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891233581 PECOS PAC ID: 7810338068 Enrollment ID: I20240518000221 |
| Provider Name | Elizabeth Busteed |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881026375 PECOS PAC ID: 7618107186 Enrollment ID: I20240520000264 |
| Provider Name | Jessica Jean Scheer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689404857 PECOS PAC ID: 9436680709 Enrollment ID: I20240927002138 |
| 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 11909 Miracle Hills Dr, Omaha, NE 68154-4408 Ph: (800) 444-6845 |
Ms. Mary Elizabeth Neary, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13609 California St, Omaha, NE 68154 Phone: 402-938-2030 | |
Alison Helen Larsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9109 Blondo St, Omaha, NE 68134 Phone: 402-399-9993 Fax: 402-778-9739 | |
Dr. James Baxa, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7712 N 80th Ave, Omaha, NE 68122 Phone: 402-319-7396 | |
Joseph Osovski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5505 Grover St, Omaha, NE 68106 Phone: 402-558-0225 | |
Mrs. Kelsi Blair Lemon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11623 Arbor St, Omaha, NE 68144 Phone: 800-334-1919 | |
Allison Chae Jochimsen, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17500 Burke St, Omaha, NE 68118 Phone: 402-401-3900 | |
Hailey Christine Comer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 California Plz, Omaha, NE 68178 Phone: 402-280-2700 |