Aegis Group Practice LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

AEGIS GROUP PRACTICE LLC

Practice address

3850 Highway 45 N
Meridian, MS 39301-1517

Phone

(479) 201-2000

NPI assigned

Nov 2, 2015

Organization subpart

Yes

Parent organization

AEGIS THERAPIES, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Holly Rasmussen-Jones

Title

Secretary

Phone

(479) 201-2000

Specialties & licenses 3

Addresses

Part of

Aegis

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1376916247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FIANNA WAY MD 4843",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729194843",
            "telephone_number": "479-201-2000",
            "fax_number": "479-201-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HIGHWAY 45 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011517",
            "telephone_number": "479-201-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS GROUP PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEGIS THERAPIES, INC.",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN-JONES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-201-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Adcock, LMSW
• Shelly Addkison
• Onaola Adedeji
• Courtney T Adkins, NURSE PRACTITIONER
• Advanced Medical Supply LLC
• After Hours Dental Clinic, II
• Jamie Agent, NP-C
• Razee Ameir Ahmad, MD
• Sohail Ahmed, M.D.
• Patrick Ajiboye, MD

• Occupational Therapist in Meridian, MS
• Providers in Meridian, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.