OrganizationActive
Aegis Group Practice, LLC
NPI 1124527189 · Occupational Therapist · Port Charlotte, FL
Provider details
- NPI number
- 1124527189
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Britt Jeffcoat, Senior Vp(972) 372-6799
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
2500 Aaron Street
Port Charlotte, FL 33952
Approximate (ZIP-level) locationGet directions
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Registry dates
- Enumerated
- 2018-02-06
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.