Active NPIOrganization

Aegis Group Practice LLC

Occupational Therapist in Atlanta, Georgia

NPI Number1083148985
Practice location
1825 Clifton RD NE, Atlanta, GA 30329-4047
Fax
479-201-4801
Last updated
November 23, 2021

Aegis Group Practice LLC is a healthcare organization based in Atlanta, GA. The NPI number for Aegis Group Practice LLC is 1083148985. The current practice location address is 1825 Clifton RD NE, Atlanta, GA 30329-4047 and the office can be reached by phone at 479-201-2000 and by fax at 479-201-4801. The NPI was assigned on April 18, 2017 and the record was last updated in NPPES on November 23, 2021.

●Provider Profile Details

NPI Number
1083148985
Provider Name
Aegis Group Practice LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Occupational Therapist · 225X00000X
Organization Subpart
Yes
Parent Organization
Aegis Therapies, INC.
Authorized Official
Michael Mcolvin · Director · 479-201-2000
Enumeration Date
April 18, 2017
Last Update Date
November 23, 2021
Certification Date
November 23, 2021
NPI Status
Active

◉Business Practice Location Address

Address
1825 Clifton RD NE
Atlanta, GA 30329-4047
State
Georgia
ZIP
30329-4047
Country
US
Phone Number
479-201-2000
Fax Number
479-201-4801

Get directions →

✉Business Mailing Address

Address
4933 Old Greenwood RD
Fort Smith, AR 72903-6906
City
Fort Smith
State
AR
ZIP
72903-6906
Phone Number
479-201-6147
Fax Number
479-401-2239

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Therapist
193200000X - Multi-Specialty Group
225100000XNo——
Speech-Language Pathologist,
193200000X - Multi-Specialty Group
235Z00000XNo——
Occupational Therapist
193200000X - Multi-Specialty Group
225X00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Aegis Group Practice LLC?

The NPI number of Aegis Group Practice LLC is 1083148985. It was assigned on April 18, 2017 and is currently active in the NPPES registry.

What is the specialty of Aegis Group Practice LLC?

Aegis Group Practice LLC is registered under the primary taxonomy Occupational Therapist (code 225X00000X).

Where does Aegis Group Practice LLC practice?

The practice location is 1825 Clifton RD NE, Atlanta, GA 30329-4047. The office can be reached at 479-201-2000 (phone) or 479-201-4801 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083148985 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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