Aegis Group Practice LLC
Physical Therapist in Indian Harbour Beach, FL. Organization (NPI-2).
NPI number1932072030
StatusActive
Last updated in NPPESSep 25, 2025
Details
- NPI
- 1932072030
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2025
- Certification date
- Sep 25, 2025
- Last updated
- Sep 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
1894 S Patrick DrIndian Harbour Beach, FL 32937-4324
Phone 479-201-6091
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
Phone 479-201-6091
Authorized official
Tracy McCall
Credentialing
4792016091
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