Aegis Group Practice LLC

Physical Therapist · Lisle, IL

Organization Active NPI

NPI number 1275259798

Practice location

1920 Maple Ave
Lisle, IL 60532-2179
Phone
(800) 444-6845
Fax
(479) 478-2852

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NPI record

NPI
1275259798
Entity type
Organization (Type 2)
Enumeration date
October 17, 2022
Last updated
October 17, 2022
Certified
October 17, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X — —
Occupational Therapist 225X00000X — —
Speech-Language Pathologist 235Z00000X — —

Mailing address

2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Phone
(972) 372-6779
Fax
(479) 668-0872

Authorized official

Name
Misty S Wilson
Title
Contract/Credentialing Specialist
Phone
(972) 372-6779

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 1920 Maple Ave, Lisle, IL 60532-2179. The NPI number 1275259798 was assigned on October 17, 2022 and the record was last updated on October 17, 2022.

The authorized official for this organization is Misty S Wilson, Contract/Credentialing Specialist.

Frequently asked questions

What is the NPI number of Aegis Group Practice LLC?

The NPI number is 1275259798.

What is the phone number of Aegis Group Practice LLC?

The phone number listed for the practice location is (800) 444-6845.

Where is Aegis Group Practice LLC located?

1920 Maple Ave, Lisle, IL 60532-2179.

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.

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