OrganizationActive
Aegis Group Practice LLC
NPI 1437004595 · Physical Therapist · Jackson, TN
Provider details
- NPI number
- 1437004595
- Entity type
- Organization
- Primary specialty
- Physical 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
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
25 Max Lane Dr
Jackson, TN 38305-2815
Phone: (479) 201-6037
Approximate (ZIP-level) locationGet directions
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Registry dates
- Enumerated
- 2026-03-03
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.