OrganizationActive
Aegis Group Practice LLC
NPI 1235845504 · Physical Therapist · Goodyear, AZ
Provider details
- NPI number
- 1235845504
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Misty Wilson, Contract & Credentialing Specialist
Practice location
14930 W Wigwam Blvd
Goodyear, AZ 85395-7661
Phone: (800) 444-6845
Fax: (479) 478-2852
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.