OrganizationActive
Aegis Group Practice, LLC
NPI 1841705985 · Physical Therapist · Roswell, GA
Provider details
- NPI number
- 1841705985
- Entity type
- Organization
- Primary specialty
- Physical 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
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
4401 Shallowford Rd Ste 158
Roswell, GA 30075-3175
Phone: (800) 444-6845
Fax: (844) 640-6066
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Fianna Way # MD5740
Fort Smith, AR 72919-9008
Registry dates
- Enumerated
- 2017-12-12
- Last updated
- 2017-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.