| Aegis Group Practice Llc | |
|
4055 Suwanee Dam Rd, Suwanee, GA 30024-4948 | |
| (800) 444-6845 | |
| (479) 478-2852 |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4055 Suwanee Dam Rd, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295412773 | NPI | - | NPPES |
| Provider Name | David L Toburen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427000892 PECOS PAC ID: 2365335973 Enrollment ID: I20040206000427 |
| Provider Name | Damon S Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710999099 PECOS PAC ID: 1850325341 Enrollment ID: I20050926000590 |
| Provider Name | Donna L Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164487021 PECOS PAC ID: 7911081526 Enrollment ID: I20080220000677 |
| Provider Name | Bethel Dimaggio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669598900 PECOS PAC ID: 9830268051 Enrollment ID: I20080514000368 |
| Provider Name | Mia D Galloway |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770844755 PECOS PAC ID: 7113170788 Enrollment ID: I20130109000687 |
| Provider Name | Quiana Fluellen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518209584 PECOS PAC ID: 3375780554 Enrollment ID: I20130507000297 |
| Provider Name | Alyson K Repko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194124891 PECOS PAC ID: 3173846938 Enrollment ID: I20141231000299 |
| Provider Name | Clarice M Ezeanya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013253780 PECOS PAC ID: 9234376468 Enrollment ID: I20151020001785 |
| Provider Name | Nancy Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558754895 PECOS PAC ID: 2961791223 Enrollment ID: I20160510001898 |
| Provider Name | Riddhi Desai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780072439 PECOS PAC ID: 8527357458 Enrollment ID: I20160517001598 |
| Provider Name | Megan Elizabeth Leuzarder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174721583 PECOS PAC ID: 9638460371 Enrollment ID: I20160627002644 |
| Provider Name | Cindy M Oneal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902017791 PECOS PAC ID: 5597056291 Enrollment ID: I20160628001782 |
| Provider Name | Cheries L Brule |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467420661 PECOS PAC ID: 3678698479 Enrollment ID: I20160809002099 |
| Provider Name | Billy C Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720431679 PECOS PAC ID: 0648565937 Enrollment ID: I20160825001723 |
| Provider Name | Kristen Platero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346485323 PECOS PAC ID: 9436438231 Enrollment ID: I20161118001524 |
| Provider Name | Loraine J Williammee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861939860 PECOS PAC ID: 7113204082 Enrollment ID: I20170502000433 |
| Provider Name | Kathryn A Karlin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245391861 PECOS PAC ID: 1759653405 Enrollment ID: I20170816000818 |
| Provider Name | Rachel D Malina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417323627 PECOS PAC ID: 8820360456 Enrollment ID: I20170817000090 |
| Provider Name | Mark Greenspan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801965074 PECOS PAC ID: 6103192992 Enrollment ID: I20171023001995 |
| Provider Name | Shaherah Findlay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831397116 PECOS PAC ID: 1850651423 Enrollment ID: I20180131001235 |
| Provider Name | Rebecca Caroline Rubadou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477985182 PECOS PAC ID: 7214297761 Enrollment ID: I20180201002213 |
| Provider Name | Cherie Dempster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699084053 PECOS PAC ID: 4789944182 Enrollment ID: I20180202001899 |
| Provider Name | Catherine Jansen Bowden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568939494 PECOS PAC ID: 8426396250 Enrollment ID: I20190220002059 |
| Provider Name | Mamta Das |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629243621 PECOS PAC ID: 3173864071 Enrollment ID: I20190402001762 |
| Provider Name | Carson Wolf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316449622 PECOS PAC ID: 9931464658 Enrollment ID: I20190605003054 |
| Provider Name | Jason K Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487183034 PECOS PAC ID: 6305177346 Enrollment ID: I20191007000624 |
| Provider Name | Elizabeth Gatchel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407452766 PECOS PAC ID: 0143633230 Enrollment ID: I20210111000529 |
| Provider Name | Ruchika Bawa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134442882 PECOS PAC ID: 1355756610 Enrollment ID: I20210218000930 |
| Provider Name | Maria Trina Guzman Slatton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497323463 PECOS PAC ID: 4789070483 Enrollment ID: I20220406000504 |
| Provider Name | Candice L Goch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669725800 PECOS PAC ID: 8022478817 Enrollment ID: I20230712000343 |
| Provider Name | Rachel Rowland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730823188 PECOS PAC ID: 9234576638 Enrollment ID: I20240321000243 |
| Provider Name | Tiara Belles |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194303933 PECOS PAC ID: 9537695440 Enrollment ID: I20241214000500 |
| Provider Name | Tracy Huffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841007564 PECOS PAC ID: 1052841855 Enrollment ID: I20250210000728 |
| Provider Name | Emily Morgan Downs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205658788 PECOS PAC ID: 6507387206 Enrollment ID: I20250311001430 |
| 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 4055 Suwanee Dam Rd, Suwanee, GA 30024-4948 Ph: (800) 444-6845 |
Mrs. Clarice M Ezeanya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Satellite Blvd Ne Ste 111, Suwanee, GA 30024 Phone: 862-202-6596 |
Ian Ananthasane, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4025 Johns Creek Pkwy, Suwanee, GA 30024 Phone: 404-575-4505 |
Maria E. Doolen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7350 Mcginnis Ferry Rd, Suite 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 |
Olivia Semrau, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4025 Johns Creek Pkwy Ste 100, Suwanee, GA 30024 Phone: 404-575-4500 |
Paris Collins, MD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1180 Satellite Blvd Nw, Suwanee, GA 30024 Phone: 404-919-4301 |
Rehab Of Suwanee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Peachtree Industrial Blvd, Suite #290, Suwanee, GA 30024 Phone: 770-850-0857 |
Avaniben Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4060 Johns Creek Pkwy Ste H, Suwanee, GA 30024 Phone: 770-622-5344 Fax: 770-622-5388 |