Aegis Group Practice LLC
Physical Therapist · Centerville, MN
Practice location
2025 Michaud WayCenterville, MN 55038-4735
- Phone
- (479) 201-6091
NPI record
- NPI
- 1013724863
- Entity type
- Organization (Type 2)
- Enumeration date
- December 16, 2024
- Last updated
- May 13, 2025
- Certified
- May 13, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X |
— | — |
| Occupational Therapist | 225X00000X |
— | — |
| Speech-Language Pathologist | 235Z00000X |
— | — |
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
- Phone
- (479) 201-6091
Authorized official
- Name
- Tracy McCall
- Title
- Credentialing
- Phone
- (479) 201-6091
About Aegis Group Practice LLC
Aegis Group Practice LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 2025 Michaud Way, Centerville, MN 55038-4735. The NPI number 1013724863 was assigned on December 16, 2024 and the record was last updated on May 13, 2025.
The authorized official for this organization is Tracy McCall, Credentialing.
Frequently asked questions
What is the NPI number of Aegis Group Practice LLC?
The NPI number is 1013724863.
What is the phone number of Aegis Group Practice LLC?
The phone number listed for the practice location is (479) 201-6091.
Where is Aegis Group Practice LLC located?
2025 Michaud Way, Centerville, MN 55038-4735.
What is the taxonomy code for Aegis Group Practice LLC?
The primary taxonomy code is 225100000X – Physical Therapist; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.