OrganizationActive
Aegis Group Practice LLC
NPI 1780553776 · Physical Therapist · Rockford, IL
Provider details
- NPI number
- 1780553776
- 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
3470 N Alpine Rd
Rockford, IL 61114-4802
Phone: (815) 877-1441
Approximate (ZIP-level) locationGet directions
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.