OrganizationActive
Aegis Group Practice LLC
NPI 1568049500 · Physical Therapist · Green Bay, WI
Provider details
- NPI number
- 1568049500
- Entity type
- Organization
- Primary specialty
- Physical 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
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
1740 Condor Ln
Green Bay, WI 54313-7776
Phone: (800) 444-6845
Fax: (479) 478-2852
Approximate (ZIP-level) locationGet directions
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.