OrganizationActive
Aegis Group Practice LLC
NPI 1083551881 · Occupational Therapist · Fort Atkinson, WI
Provider details
- NPI number
- 1083551881
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Terry Lamb, Credentialing(479) 201-6037
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
737 Reena Ave
Fort Atkinson, WI 53538-3108
Phone: (479) 201-6037
Approximate (ZIP-level) locationGet directions
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Registry dates
- Enumerated
- 2026-04-30
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.