Active NPIOrganization

Aegis Group Practice LLC

Physical Therapist in Salem, Oregon

NPI Number1477328177
Practice location
4254 Weathers St NE, Salem, OR 97301-1933
Fax
—
Last updated
November 22, 2023

Aegis Group Practice LLC is a healthcare organization based in Salem, OR. The NPI number for Aegis Group Practice LLC is 1477328177. The current practice location address is 4254 Weathers St NE, Salem, OR 97301-1933 and the office can be reached by phone at 479-201-6091. The NPI was assigned on November 22, 2023 and the record was last updated in NPPES on November 22, 2023.

●Provider Profile Details

NPI Number
1477328177
Provider Name
Aegis Group Practice LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Tracy Mccall · Credentialing · 479-201-6091
Enumeration Date
November 22, 2023
Last Update Date
November 22, 2023
Certification Date
November 22, 2023
NPI Status
Active

◉Business Practice Location Address

Address
4254 Weathers St NE
Salem, OR 97301-1933
City
Salem
State
Oregon
ZIP
97301-1933
Country
US
Phone Number
479-201-6091

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✉Business Mailing Address

Address
4933 Old Greenwood RD
Fort Smith, AR 72903-6906
City
Fort Smith
State
AR
ZIP
72903-6906

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Occupational Therapist
193200000X - Multi-Specialty Group
225X00000XNo——
Speech-Language Pathologist,
193200000X - Multi-Specialty Group
235Z00000XNo——
Physical Therapist
193200000X - Multi-Specialty Group
225100000XYes——

#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 1477328177. It was assigned on November 22, 2023 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 Physical Therapist (code 225100000X).

Where does Aegis Group Practice LLC practice?

The practice location is 4254 Weathers St NE, Salem, OR 97301-1933. The office can be reached at 479-201-6091 (phone).

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 1477328177 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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