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
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1417806076
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	:	1916 S LINCOLN AVE
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-4385
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	:	01/27/2026
Last Update Date	:	01/27/2026

Similar Medicare Providers

1750522389 — BROOKDALE SENIOR LIVING COMMUNITIES INC
Practice Location Address:

1916 S LINCOLN AVE
SALEM, OH
44460-4385

Practice Phone: 330-337-9096
Practice Fax: 330-332-9927

1780541326 — LISA HILL
Practice Location Address:

4385 SUNNYVIEW RD NE
SALEM, OR
97305-1869

Practice Phone: 503-400-3340
Practice Fax: 503-400-3339

1841326337 — MS. HELENA MOSLEY
Practice Location Address:

4385 SUNNYVIEW RD NE
SALEM, OR
97305

Practice Phone: 503-400-3340
Practice Fax:

1184968760 — ALISHA SUE CLARK
Practice Location Address:

4385 SATTER PL NE
SALEM, OR
97305-4107

Practice Phone: 503-812-1280
Practice Fax:

1710300322 — MR. CHRISTOPHER RYAN
Practice Location Address:

4385 SUNNYVIEW ROAD NE
SALEM, OR
97305

Practice Phone: 707-208-2085
Practice Fax:

1770961369 — MR. JONATHAN ALISCH STRODE
Practice Location Address:

4385 SUNNYVIEW RD NE
SALEM, OR
97305

Practice Phone: 971-600-4429
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.