OrganizationActive
Aegis Group Practice, LLC
NPI 1336680032 · Occupational Therapist · Grayson, GA
Provider details
- NPI number
- 1336680032
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Aegis Therapies, Inc.
- Organization subpart
- Yes
- Authorized official
- Mike Mcolvin, Director(479) 201-2000
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
2270 Loganville Hwy
Grayson, GA 30017-1623
Phone: (479) 201-2000
Fax: (479) 201-4801
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Fianna Way # MD4843
Fort Smith, AR 72919-9008
Registry dates
- Enumerated
- 2017-03-14
- Last updated
- 2017-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.