| Aegis Group Practice Llc | |
|
1000 Fianna Way, Fort Smith, AR 72919-4840 | |
| (479) 201-4840 | |
| Not Available |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1000 Fianna Way, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417340126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 235Z00000X | Speech-language Pathologist | (NU) | Secondary |
| Provider Name | John A Gergen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619926912 PECOS PAC ID: 1052210648 Enrollment ID: I20040102000435 |
| Provider Name | Alka Mehra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740344423 PECOS PAC ID: 4284690918 Enrollment ID: I20041204000297 |
| Provider Name | Paul H Hougan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073586830 PECOS PAC ID: 7517991516 Enrollment ID: I20050920000423 |
| Provider Name | Sally V Matchette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962598946 PECOS PAC ID: 0244377075 Enrollment ID: I20091027000318 |
| Provider Name | Barbara J Vareberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912987827 PECOS PAC ID: 7416082177 Enrollment ID: I20100319000267 |
| Provider Name | Kari C Quinn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134445950 PECOS PAC ID: 1153453907 Enrollment ID: I20100714000999 |
| Provider Name | Amanda M Burrill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619279536 PECOS PAC ID: 0840479531 Enrollment ID: I20110127000172 |
| Provider Name | Jason M Goldfarb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235574682 PECOS PAC ID: 9638310428 Enrollment ID: I20130719000532 |
| Provider Name | Stephanie Weldon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043586613 PECOS PAC ID: 9133436645 Enrollment ID: I20150916001176 |
| Provider Name | Erica M Panning |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487033692 PECOS PAC ID: 0244547594 Enrollment ID: I20150918000138 |
| Provider Name | Shelly A Hampton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558733691 PECOS PAC ID: 3274834072 Enrollment ID: I20151221002254 |
| Provider Name | Nathan W Fogarty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073874079 PECOS PAC ID: 4183994635 Enrollment ID: I20170717002535 |
| Provider Name | David J Miller |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659747806 PECOS PAC ID: 8820369861 Enrollment ID: I20170809001045 |
| Provider Name | Wendi Rw Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952831992 PECOS PAC ID: 4789958042 Enrollment ID: I20170926000270 |
| Provider Name | Julie A Weinans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801133012 PECOS PAC ID: 6002178787 Enrollment ID: I20180316000121 |
| Provider Name | Colleen S Walz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609045301 PECOS PAC ID: 2264518414 Enrollment ID: I20181128001486 |
| Provider Name | Elizabeth A Pederson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669622411 PECOS PAC ID: 2860738143 Enrollment ID: I20190108000226 |
| Provider Name | Matthew T Baltus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609342203 PECOS PAC ID: 7517206980 Enrollment ID: I20190228003035 |
| Provider Name | Nichole Renae Cruse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497304414 PECOS PAC ID: 1153755194 Enrollment ID: I20200121000554 |
| Provider Name | Megan Anne Dowdal-osborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023109436 PECOS PAC ID: 4183052350 Enrollment ID: I20200323000185 |
| Provider Name | Krista L Mandler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992337562 PECOS PAC ID: 2466880562 Enrollment ID: I20200324003027 |
| Provider Name | Stephen T Siegle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245788744 PECOS PAC ID: 5890125306 Enrollment ID: I20200424001410 |
| Provider Name | Kent R Deardorff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154945251 PECOS PAC ID: 8628495223 Enrollment ID: I20200827002076 |
| Provider Name | Alissa M Hynes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194334730 PECOS PAC ID: 3577982768 Enrollment ID: I20201008000868 |
| Provider Name | Courtney A Suilmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013573724 PECOS PAC ID: 1850711433 Enrollment ID: I20201020002848 |
| Provider Name | Melissa Sue Kinney |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033757364 PECOS PAC ID: 7113337213 Enrollment ID: I20201030001632 |
| Provider Name | Emily Anne Richlen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063186435 PECOS PAC ID: 1254736028 Enrollment ID: I20210818000472 |
| Provider Name | Jamie P Neisen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477223584 PECOS PAC ID: 4183012248 Enrollment ID: I20211022002199 |
| Provider Name | Patricia May Vanlandschoot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699115113 PECOS PAC ID: 6709274236 Enrollment ID: I20211102001519 |
| Provider Name | Charity L Schroeder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275779068 PECOS PAC ID: 5496132300 Enrollment ID: I20220516001031 |
| Provider Name | Estee Berg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437789997 PECOS PAC ID: 8820477821 Enrollment ID: I20220622001737 |
| Provider Name | Matthew R Hutzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578929873 PECOS PAC ID: 4789980236 Enrollment ID: I20220822003416 |
| Provider Name | Courtney Lynne Romatz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407581648 PECOS PAC ID: 0042694556 Enrollment ID: I20220901001821 |
| Provider Name | Kari Wiggins Lukken |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720259153 PECOS PAC ID: 8729464706 Enrollment ID: I20220928001162 |
| Provider Name | Michelle M King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194892323 PECOS PAC ID: 4082081153 Enrollment ID: I20221102000439 |
| Provider Name | Kathryn Scrimgeour |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558073882 PECOS PAC ID: 0648640599 Enrollment ID: I20230110002116 |
| Provider Name | Anastasia Albers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497294151 PECOS PAC ID: 6204209471 Enrollment ID: I20230309000412 |
| Provider Name | Sarah A Sirivong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306538939 PECOS PAC ID: 5193186369 Enrollment ID: I20230803003305 |
| Provider Name | Deborah A Zattoni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205513629 PECOS PAC ID: 2466806328 Enrollment ID: I20230926002394 |
| Provider Name | Anna S Hansmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922521566 PECOS PAC ID: 8729431978 Enrollment ID: I20240124002879 |
| Provider Name | Minde A Pulvermacher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780252593 PECOS PAC ID: 4688019581 Enrollment ID: I20240301001512 |
| Provider Name | Kayla A Stuart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932725876 PECOS PAC ID: 6507204369 Enrollment ID: I20240329001907 |
| Provider Name | Joanna Nicole Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366201626 PECOS PAC ID: 8123460060 Enrollment ID: I20240523003102 |
| Provider Name | Wanda Sue Withington |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992545974 PECOS PAC ID: 8820532898 Enrollment ID: I20240701003396 |
| Provider Name | Cole Gardner Mueller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154162071 PECOS PAC ID: 8729524939 Enrollment ID: I20240724002337 |
| Provider Name | Sarah C Feerhusen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376387159 PECOS PAC ID: 3072059880 Enrollment ID: I20240729000551 |
| Provider Name | Clara D Bayne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164264891 PECOS PAC ID: 3274070925 Enrollment ID: I20240731001417 |
| Provider Name | Kelly M Kitzman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184465403 PECOS PAC ID: 7416495114 Enrollment ID: I20240813001806 |
| Provider Name | Reilly A Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194417311 PECOS PAC ID: 0648719211 Enrollment ID: I20240827002346 |
| Provider Name | Taylor Lennartson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538985346 PECOS PAC ID: 2668908401 Enrollment ID: I20241204000738 |
| Provider Name | Jessica Hovland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366139651 PECOS PAC ID: 6002345006 Enrollment ID: I20250121000861 |
| Provider Name | Molly Marie Wollner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225887771 PECOS PAC ID: 6800326513 Enrollment ID: I20250211002075 |
| Provider Name | April Hurley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265841332 PECOS PAC ID: 9830614445 Enrollment ID: I20250416001304 |
| Provider Name | Joanne Beitlich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174325690 PECOS PAC ID: 9133638075 Enrollment ID: I20250610001462 |
| Provider Name | Kenyetta Booker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558107714 PECOS PAC ID: 2860931078 Enrollment ID: I20250626001415 |
| Provider Name | Kelsey M Danzeisen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124359591 PECOS PAC ID: 3779090022 Enrollment ID: I20250730002284 |
| Provider Name | Jolene Ann Denn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881822567 PECOS PAC ID: 4385142033 Enrollment ID: I20250812001437 |
| Provider Name | Morgan Halliday |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528955572 PECOS PAC ID: 7416458229 Enrollment ID: I20250902002011 |
| Provider Name | Ashley C Kirchner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588542716 PECOS PAC ID: 0345744587 Enrollment ID: I20250919000844 |
| Provider Name | Kathleen Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447121272 PECOS PAC ID: 4486141033 Enrollment ID: I20251016001900 |
| Provider Name | Kristen Marie Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336737469 PECOS PAC ID: 5991292617 Enrollment ID: I20251017002207 |
| Provider Name | Julie Altrichter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396042891 PECOS PAC ID: 7517457161 Enrollment ID: I20251103003798 |
| Provider Name | Laura Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841911989 PECOS PAC ID: 1052783651 Enrollment ID: I20251104000470 |
| Provider Name | Timothy Alan Curtis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881176972 PECOS PAC ID: 0941790794 Enrollment ID: I20251110000826 |
| Provider Name | Erica Collins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942178421 PECOS PAC ID: 6103312392 Enrollment ID: I20251226000091 |
| Provider Name | Michele Darger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306713284 PECOS PAC ID: 6305322819 Enrollment ID: I20260114001732 |
| Provider Name | Lauren Mccaughtry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700740644 PECOS PAC ID: 5991282071 Enrollment ID: I20260120003242 |
| Provider Name | Erin Carlson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285512889 PECOS PAC ID: 9830679182 Enrollment ID: I20260216002565 |
| Provider Name | Stephanie Ann Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376750893 PECOS PAC ID: 2466937560 Enrollment ID: I20260326002846 |
| Provider Name | Stacey Cowan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063354660 PECOS PAC ID: 1456828458 Enrollment ID: I20260428000878 |
| Provider Name | Derek Techam |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306792247 PECOS PAC ID: 6507337698 Enrollment ID: I20260609004060 |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Group Practice Llc 1000 Fianna Way, Legal Dept - Md 4840, Fort Smith, AR 72919-4840 Ph: (479) 201-4840 | Aegis Group Practice Llc 1000 Fianna Way, Fort Smith, AR 72919-4840 Ph: (479) 201-4840 |
Mrs. Amanda Gayle Chilton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Lexington Ave, Fort Smith, AR 72901 Phone: 479-782-1444 Fax: 479-782-1477 |
Lane Carter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 |
Dr. David A. Fitting, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3501 We Knight Dr, Fort Smith, AR 72903 Phone: 479-709-8350 Fax: 479-709-8355 |
Katelyn Roberts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 Old Greenwood Rd Ste 14, Fort Smith, AR 72903 Phone: 479-222-1425 |
Wade Pennington, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6911 Veterans Ave, Fort Smith, AR 72916 Phone: 479-800-1989 |
Mrs. Rebecca Lynn Hartsfield, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3205 Jenny Lind Rd, Fort Smith, AR 72901 Phone: 479-785-2501 Fax: 479-784-8109 |
Patricia Ha, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5905 Remington Cir, Fort Smith, AR 72903 Phone: 479-452-7773 Fax: 479-452-7774 |