| Aegis Group Practice Llc | |
|
600 W Arapaho Rd, Richardson, TX 75080-4423 | |
| (800) 444-6845 | |
| (479) 478-2852 |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 600 W Arapaho Rd, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972288728 | 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 | Natalie D Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730478892 PECOS PAC ID: 8921062423 Enrollment ID: I20041115000912 |
| Provider Name | Maribel Ontiveros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114129863 PECOS PAC ID: 3678668159 Enrollment ID: I20070927001104 |
| Provider Name | Benjamin T Rector |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730318312 PECOS PAC ID: 4688753866 Enrollment ID: I20101013000496 |
| Provider Name | Jean Cordero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881900280 PECOS PAC ID: 4284812272 Enrollment ID: I20110621000774 |
| Provider Name | Stephanie A Calabrese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386031771 PECOS PAC ID: 6406146802 Enrollment ID: I20160525003147 |
| Provider Name | Amy B Dixon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083843247 PECOS PAC ID: 6608920350 Enrollment ID: I20180508002316 |
| Provider Name | Lara Lanier Pitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861879082 PECOS PAC ID: 8729075478 Enrollment ID: I20190218002114 |
| Provider Name | Michelle E Mcspadden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871010363 PECOS PAC ID: 6608116009 Enrollment ID: I20190321002211 |
| Provider Name | Ashley N Roman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922468487 PECOS PAC ID: 3476978537 Enrollment ID: I20200806000630 |
| Provider Name | Ryan C Trudo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891252623 PECOS PAC ID: 8729499629 Enrollment ID: I20201125001532 |
| Provider Name | Francis Eduard Lorenzo Espinola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750844486 PECOS PAC ID: 0143637801 Enrollment ID: I20210324001419 |
| Provider Name | Maria Pamela Ignacio Maranca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841671161 PECOS PAC ID: 7719396530 Enrollment ID: I20210507001306 |
| Provider Name | Dawn R Hungate |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962863969 PECOS PAC ID: 1456751528 Enrollment ID: I20210610001634 |
| Provider Name | Christopher R Leisinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821766999 PECOS PAC ID: 2567869993 Enrollment ID: I20210927003206 |
| Provider Name | Cody C Atchley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568681799 PECOS PAC ID: 7113325887 Enrollment ID: I20211011001167 |
| Provider Name | Michele A Curry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508253097 PECOS PAC ID: 9335537364 Enrollment ID: I20211025002671 |
| Provider Name | Garima Bhatia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558990853 PECOS PAC ID: 3173911070 Enrollment ID: I20211026002376 |
| Provider Name | Sheryl Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235779513 PECOS PAC ID: 7214320753 Enrollment ID: I20220207000473 |
| Provider Name | Robert Parker Elliott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427511393 PECOS PAC ID: 5698169522 Enrollment ID: I20220218001115 |
| Provider Name | Kimberly Clarkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780138347 PECOS PAC ID: 2466849500 Enrollment ID: I20220420001266 |
| Provider Name | Petra C Ihezie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164008702 PECOS PAC ID: 9537556410 Enrollment ID: I20220422001538 |
| Provider Name | Ashlynn S Clark |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558933929 PECOS PAC ID: 3678953502 Enrollment ID: I20220708002030 |
| Provider Name | Jan Ellen Pittard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992936009 PECOS PAC ID: 3779964325 Enrollment ID: I20220714000328 |
| Provider Name | Ashton L Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285389122 PECOS PAC ID: 9830570142 Enrollment ID: I20220718003527 |
| Provider Name | Sierra Martha Wilson Bautista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588273379 PECOS PAC ID: 9830570159 Enrollment ID: I20220719000024 |
| Provider Name | Maria Sonia Latigo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952624637 PECOS PAC ID: 9931582749 Enrollment ID: I20220811001524 |
| Provider Name | Katherine Elizabeth Page |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821731324 PECOS PAC ID: 0244615177 Enrollment ID: I20220914000032 |
| Provider Name | Mithlesh K Vani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386882173 PECOS PAC ID: 5294104113 Enrollment ID: I20221215000009 |
| Provider Name | Lori Medina Ibarra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962151811 PECOS PAC ID: 6709258973 Enrollment ID: I20230216001324 |
| Provider Name | Omolara Ajayi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356045108 PECOS PAC ID: 8729443759 Enrollment ID: I20230427000201 |
| Provider Name | Jodie Jean Mccutcheon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861921777 PECOS PAC ID: 1355700964 Enrollment ID: I20230629002380 |
| Provider Name | Shannon Leigh Newman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477986636 PECOS PAC ID: 3971739517 Enrollment ID: I20230712002855 |
| Provider Name | Kristin N Podnar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912555798 PECOS PAC ID: 1254792104 Enrollment ID: I20230725003691 |
| Provider Name | Kiran Shafique |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740750587 PECOS PAC ID: 2668861360 Enrollment ID: I20230925003803 |
| Provider Name | Viraj Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336738772 PECOS PAC ID: 5496169229 Enrollment ID: I20231018002578 |
| Provider Name | Emily R Briggs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225517881 PECOS PAC ID: 3870948359 Enrollment ID: I20231018003735 |
| Provider Name | Gomathi Kanniappan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891197109 PECOS PAC ID: 1456707967 Enrollment ID: I20231019001113 |
| Provider Name | Arlene R Silveyra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548383508 PECOS PAC ID: 9830228600 Enrollment ID: I20231020000067 |
| Provider Name | Jipsy A Mathew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023308459 PECOS PAC ID: 3476909722 Enrollment ID: I20231024000921 |
| Provider Name | Dena K Cooper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992581177 PECOS PAC ID: 3173979317 Enrollment ID: I20231025001049 |
| Provider Name | Nicole Denise Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356863286 PECOS PAC ID: 4082065065 Enrollment ID: I20240104001777 |
| Provider Name | Dyna A Jose |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457827933 PECOS PAC ID: 9032562483 Enrollment ID: I20240201001568 |
| Provider Name | Meredith L Seibert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902128572 PECOS PAC ID: 3476999020 Enrollment ID: I20240306001711 |
| Provider Name | Cassandra Deanne Cahee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528571809 PECOS PAC ID: 4385081868 Enrollment ID: I20240319004070 |
| Provider Name | Kris L Foley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477785574 PECOS PAC ID: 5092156414 Enrollment ID: I20240515003572 |
| Provider Name | Karen S Fowler-arias |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093838708 PECOS PAC ID: 9335682731 Enrollment ID: I20240613001826 |
| Provider Name | Wasana Palihapitiya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174178495 PECOS PAC ID: 5395288039 Enrollment ID: I20240621002860 |
| Provider Name | Alexander Lyubomirov Vuchkov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699551788 PECOS PAC ID: 6709320690 Enrollment ID: I20240702003975 |
| Provider Name | Leslyn Carr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609154780 PECOS PAC ID: 2769921246 Enrollment ID: I20240828002618 |
| Provider Name | Sarah Benso |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902387772 PECOS PAC ID: 0648701664 Enrollment ID: I20241002000022 |
| Provider Name | Carolyn Renee Caudell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891981486 PECOS PAC ID: 7810423472 Enrollment ID: I20241206001129 |
| Provider Name | Taje Burston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144949066 PECOS PAC ID: 6709314206 Enrollment ID: I20250113000261 |
| Provider Name | Michele R Morris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881964146 PECOS PAC ID: 2264889781 Enrollment ID: I20250214000664 |
| Provider Name | Simone Monique Norman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487466009 PECOS PAC ID: 4385164797 Enrollment ID: I20250227003221 |
| Provider Name | Diana S Chang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043578412 PECOS PAC ID: 7517109887 Enrollment ID: I20250313002274 |
| Provider Name | Karen Anne Bohl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811797947 PECOS PAC ID: 2668995838 Enrollment ID: I20250327003973 |
| Provider Name | Rachel Brownlee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003375486 PECOS PAC ID: 9537672670 Enrollment ID: I20250701003245 |
| Provider Name | Jessica Lauren Oviedo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982497004 PECOS PAC ID: 6709391295 Enrollment ID: I20250714003568 |
| Provider Name | Phatima De'rhonda Mcnary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417577727 PECOS PAC ID: 6901311430 Enrollment ID: I20250714004124 |
| Provider Name | Paige Slivinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124819297 PECOS PAC ID: 5092214957 Enrollment ID: I20250818002198 |
| Provider Name | Charlotte Moats |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457502320 PECOS PAC ID: 2769981695 Enrollment ID: I20250818003852 |
| Provider Name | Marellen May Diwa Pantig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508684143 PECOS PAC ID: 2062911829 Enrollment ID: I20250819000133 |
| Provider Name | Heather Tanner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689736753 PECOS PAC ID: 2769983907 Enrollment ID: I20250829000774 |
| Provider Name | Jay Scurlock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659244200 PECOS PAC ID: 4284123498 Enrollment ID: I20251028004791 |
| Provider Name | Olivia Hubbard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215804216 PECOS PAC ID: 3476045824 Enrollment ID: I20251122001556 |
| Provider Name | Raashidha Begum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265649818 PECOS PAC ID: 2365928587 Enrollment ID: I20260107004056 |
| Provider Name | Megan Theissen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396605101 PECOS PAC ID: 3779060496 Enrollment ID: I20260123000535 |
| Provider Name | Christopher Willinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992192215 PECOS PAC ID: 2365921061 Enrollment ID: I20260211003627 |
| Provider Name | Jennifer Krause |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225997760 PECOS PAC ID: 7911487616 Enrollment ID: I20260212002562 |
| 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 600 W Arapaho Rd, Richardson, TX 75080-4423 Ph: (800) 444-6845 |
Living Well Therapy Partners, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1206 Apollo Rd, Richardson, TX 75085 Phone: 214-356-4602 Fax: 972-669-9826 |
Radhika Vemuri, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 E Lookout Dr, Richardson, TX 75082 Phone: 972-220-2125 |
Monica Morales, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 N Collins Blvd, Suite 100, Richardson, TX 75080 Phone: 972-235-9035 |
Ansu Thomas, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Central Expy Ste 110, Richardson, TX 75080 Phone: 214-265-1819 |
Franklin Brown Iii, D.P.T Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1740 N Collins Blvd, Richardson, TX 75080 Phone: 972-235-8035 |
Anas Fathi Khalil Ababneh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Abrams Rd Apt 112, Richardson, TX 75081 Phone: 469-688-3473 |
Alexa Phillips, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Central Expy Ste 110, Richardson, TX 75080 Phone: 214-265-1819 |