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	:	1922850908
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9101 WINTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-3829
Country	:	US
Telephone Number	:	479-201-6091
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	TRACY MCCALL
Credential	:
Telephone Number	:	479-201-6091

Provider Enumeration Date	:	04/03/2024
Last Update Date	:	04/03/2024

Similar Medicare Providers

1205774320 — MEADOW FALLS FINNEYTOWN OPCO LLC
Practice Location Address:

9101 WINTON RD
CINCINNATI, OH
45231-3829

Practice Phone: 513-729-5233
Practice Fax:

1700190345 — BROOKDALE PLACE AT FINNEYTOWN LLC
Practice Location Address:

9101 WINTON RD
CINCINNATI, OH
45231-3829

Practice Phone: 513-729-5233
Practice Fax: 513-729-5234

1376885582 — BROOKDALE PLACE AT FINNEYTOWN LLC
Practice Location Address:

9101 WINTON RD
CINCINNATI, OH
45231-3829

Practice Phone: 513-729-5233
Practice Fax:

1699879254 — MISS TERESA EILEEN KNEIPP PT
Practice Location Address:

2300 MONTANA AVE , SUITE 420
CINCINNATI, OH
45211-3829

Practice Phone: 513-662-3400
Practice Fax: 513-662-3071

1740138858 — CLEMENTINE OHIO ABA LLC
Practice Location Address:

2300 MONTANA AVE FL 5
CINCINNATI, OH
45211-3829

Practice Phone: 888-603-2536
Practice Fax:

1295819597 — CAROLYN ANN KOWATSCH PH.D.
Practice Location Address:

2300 MONTANA AVE , 317
CINCINNATI, OH
45211-3829

Practice Phone: 513-662-8200
Practice Fax: 513-662-8201

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.