OrganizationActive
Aegis Group Practice LLC
NPI 1689197006 · Physical Therapist · Belton, MO
Provider details
- NPI number
- 1689197006
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michael Mcolvin, Vice President - Finance(479) 201-6100
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
107 Bernard Dr
Belton, MO 64012-6185
Phone: (800) 444-6845
Fax: (479) 478-2852
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Fianna Way # MD5740
Fort Smith, AR 72919-9008
Registry dates
- Enumerated
- 2017-07-18
- Last updated
- 2017-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.