OrganizationActive
Aegis Group Practice LLC
NPI 1578034484 · Occupational Therapist · Rochester, MN
Provider details
- NPI number
- 1578034484
- 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
2115 2nd St Sw
Rochester, MN 55902-2442
Phone: (800) 444-6845
Fax: (479) 478-2852
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Fianna Way
Fort Smith, AR 72919-9008
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2018-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.