Wellformed AI

NPI 1952976276 · live from the CMS NPI Registry

Aegis Group Practice LLC

Physical Therapist in Canton, OH. National Provider Identifier 1952976276, active.

NPI record

NPI1952976276 Type 2 · organization
StatusActive
Primary specialtyPhysical Therapist 225100000X
Practice location4515 22nd St Nw, Canton, OH 44708
Practice phone800-444-6845
Mailing address4933 Old Greenwood Rd, Fort Smith, AR 72903
EnumeratedMay 20, 2021
Last updatedMarch 10, 2022
Authorized officialBritt Jeffcoat, Senior Vp

Taxonomies and licenses

TaxonomyCodeLicense
Occupational Therapist225X00000X—
Speech-Language Pathologist, 235Z00000X—
Physical Therapist primary225100000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.