DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AEGIS GROUP PRACTICE LLC

MEDICARE: AEGIS GROUP PRACTICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1184579245
Entity Type Code : Organization
Provider Name (Legal Business Name) : AEGIS GROUP PRACTICE LLC
Provider Business Mailing Address
First Line : 4933 OLD GREENWOOD RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6906
Country : US
Telephone Number : 479-201-6037
Fax Number :
Provider Business Practice Location Address
First Line : 3362 FOREST LN
Second Line :
City : DALLAS
State : TX
Zip : 75234-7796
Country : US
Telephone Number : 479-201-6037
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : TERRY LAMB
Credential :
Telephone Number : 479-201-6037
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

Similar Medicare Providers

1881989606 — MRS. JADE ELISE FAGAN PT
Practice Location Address:
3362 FOREST LN
DALLAS, TX
75234-7796
Practice Phone: 972-488-1300
Practice Fax: 972-488-1301
1710274048 — JAMIE KAY KOPP PTA
Practice Location Address:
3362 FOREST LN
DALLAS, TX
75234-7796
Practice Phone: 972-488-1300
Practice Fax: 972-488-1301
1538449889 — KATHLEEN WILLIAMS PT
Practice Location Address:
3362 FOREST LN , SUITE 304
DALLAS, TX
75234-7796
Practice Phone: 888-440-4987
Practice Fax: 281-894-5501
1326329103 — NIRAV PUROHIT PT
Practice Location Address:
3362 FOREST LN
DALLAS, TX
75234-7796
Practice Phone: 972-488-1301
Practice Fax:
1558768184 — MANUEL SANCHEZ JR. PTA
Practice Location Address:
3362 FOREST LN
DALLAS, TX
75234-7796
Practice Phone: 972-829-0818
Practice Fax:
1194191106 — MRS. ANITA OOMMEN MS CCC-SLP
Practice Location Address:
3362 FOREST LN
DALLAS, TX
75234-7796
Practice Phone: 972-481-1484
Practice Fax:

Directions to “AEGIS GROUP PRACTICE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.