OrganizationActive
Aegis Group Practice LLC
NPI 1508368598 · Occupational Therapist · Wildwood, MO
Provider details
- NPI number
- 1508368598
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michael Mcolvin, Vp-Finance(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
251 Plaza Dr
Wildwood, MO 63040-1203
Phone: (800) 444-6845
Fax: (844) 640-6066
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Fianna Way
Fort Smith, AR 72919-9008
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2018-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.