Organization · NPI-2
Aegis Group Practice LLC
Physical Therapist · Dallas, TX
NPI number1184579245
StatusActive
Last updated in NPPESMar 3, 2026
Details
- NPI
- 1184579245
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2026
- Certification date
- Mar 3, 2026
- Last updated
- Mar 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
3362 Forest LnDallas, TX 75234-7796
Phone 479-201-6037
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
Phone 479-201-6037
Authorized official
Terry Lamb
Credentialing
4792016037
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