Aegis Group Practice LLC

Physical Therapist · Carmi, IL

Organization Active NPI

NPI number 1215700794

Practice location

1112 Oak St
Carmi, IL 62821-1344
Phone
(479) 201-6091

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NPI record

NPI
1215700794
Entity type
Organization (Type 2)
Enumeration date
November 6, 2023
Last updated
November 6, 2023
Certified
November 6, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X — —
Occupational Therapist 225X00000X — —
Speech-Language Pathologist 235Z00000X — —

Mailing address

4933 Old Greenwood Rd
Fort Smith, AR 72903-6906

Authorized official

Name
Tracy McCall
Title
Credentialing
Phone
(479) 201-6091

About Aegis Group Practice LLC

Aegis Group Practice LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1112 Oak St, Carmi, IL 62821-1344. The NPI number 1215700794 was assigned on November 6, 2023 and the record was last updated on November 6, 2023.

The authorized official for this organization is Tracy McCall, Credentialing.

Frequently asked questions

What is the NPI number of Aegis Group Practice LLC?

The NPI number is 1215700794.

What is the phone number of Aegis Group Practice LLC?

The phone number listed for the practice location is (479) 201-6091.

Where is Aegis Group Practice LLC located?

1112 Oak St, Carmi, IL 62821-1344.

What is the taxonomy code for Aegis Group Practice LLC?

The primary taxonomy code is 225100000X – Physical Therapist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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