OrganizationActive
Aegis Group Practice LLC
NPI 1902505001 · Physical Therapist · Gladstone, OR
Provider details
- NPI number
- 1902505001
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Misty Wilson, Contract & Credentialing Specialist
Practice location
8360 Cason Rd
Gladstone, OR 97027-6413
Phone: (800) 444-6845
Fax: (479) 478-2852
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Registry dates
- Enumerated
- 2023-02-27
- Last updated
- 2023-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.