Aegis Group Practice LLC
Occupational Therapist · Johns Creek, GA
Practice location
5050 Kimball Bridge RdJohns Creek, GA 30005-4511
- Phone
- (479) 201-2000
- Fax
- (479) 201-4801
NPI record
- NPI
- 1316399124
- Entity type
- Organization (Type 2)
- Enumeration date
- July 5, 2016
- Last updated
- September 15, 2022
- Certified
- September 15, 2022
- Organization subpart
- Yes
- Parent organization
- Aegis Therapies, Inc.
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X |
— | — |
| Physical Therapist | 225100000X |
— | — |
| Speech-Language Pathologist | 235Z00000X |
— | — |
Mailing address
2601 Network Blvd Ste 102Frisco, TX 75034-9092
- Phone
- (972) 372-6779
- Fax
- (479) 668-0872
Authorized official
- Name
- Misty S Wilson
- Title
- Contract/Credentialing Specialist
- Phone
- (972) 372-6779
About Aegis Group Practice LLC
Aegis Group Practice LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 5050 Kimball Bridge Rd, Johns Creek, GA 30005-4511. The NPI number 1316399124 was assigned on July 5, 2016 and the record was last updated on September 15, 2022.
The authorized official for this organization is Misty S Wilson, Contract/Credentialing Specialist.
Frequently asked questions
What is the NPI number of Aegis Group Practice LLC?
The NPI number is 1316399124.
What is the phone number of Aegis Group Practice LLC?
The phone number listed for the practice location is (479) 201-2000.
Where is Aegis Group Practice LLC located?
5050 Kimball Bridge Rd, Johns Creek, GA 30005-4511.
What is the taxonomy code for Aegis Group Practice LLC?
The primary taxonomy code is 225X00000X – Occupational 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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