AEGIS GROUP PRACTICE LLC
NPI 1013724863
Physical Therapist in Centerville, MN

Active since December 16, 2024
2025 MICHAUD WAY, CENTERVILLE, MN 55038(479) 201-6091 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Dec 16, 2024 (2 updates tracked since 2024).

About Aegis Group Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AEGIS GROUP PRACTICE LLC (NPI 1013724863) is a healthcare organization registered as a physical therapist in Centerville, Minnesota and active in the NPI registry since December 2024. The organization lists Tracy Mccall, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1013724863
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameAEGIS GROUP PRACTICE LLC
Location Address2025 MICHAUD WAYCenterville, MN 55038-4735
Mailing Address4933 Old Greenwood RdFort Smith, AR 72903-6906 · (479) 201-6091
Organization SubpartNo
Authorized OfficialTracy MccallCredentialing · (479) 201-6091
Enumeration DateDecember 16, 2024
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1013724863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
2025 MICHAUD WAY, Centerville, MN 55038

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aegis Group Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Aegis Group Practice LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Occupational Therapist in Private Practice35
Physical Therapist in Private Practice30
Qualified Speech Language Pathologist9

Nearest to this location (20)

See all 74
Occupational Therapist in Private Practice
NPI 1720259153
825 1ST AVE NW
New Brighton, MN 55112
(651) 633-7875
10 mi
Qualified Speech Language Pathologist
NPI 1932725876
2495 MAPLEWOOD DR N
Saint Paul, MN 55109
(651) 770-8884
✔ Accepts Medicare10 mi
Occupational Therapist in Private Practice
NPI 1376750893
550 OSBORNE RD NE
Fridley, MN 55432
(763) 236-3001
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1063354660
9120 SPRINGBROOK DR NW
Coon Rapids, MN 55433
(763) 231-2590
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1194334730
7241 UNIVERSITY EAST SERVICE RD
Fridley, MN 55432
(763) 450-9400
12 mi
Physical Therapist in Private Practice
NPI 1194417311
7241 UNIVERSITY AVE NE
Fridley, MN 55432
(763) 450-9400
12 mi
Occupational Therapist in Private Practice
NPI 1306792247
1394 JACKSON ST
Saint Paul, MN 55117
(651) 603-8774
✔ Accepts Medicare13 mi
Occupational Therapist in Private Practice
NPI 1306713284
11372 ROBINSON DR NW
Coon Rapids, MN 55433
(651) 427-1810
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1619926912
19131 TAYLOR ST NE
East Bethel, MN 55011
(763) 392-5443
✔ Accepts Medicare15 mi
Occupational Therapist in Private Practice
NPI 1225887771
640 JACKSON ST
Saint Paul, MN 55101
(651) 254-3456
15 mi
Physical Therapist in Private Practice
NPI 1205513629
5601 94TH AVE N
Brooklyn Park, MN 55443
(763) 401-2461
✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1023109436
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1184711756
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
17 mi
Qualified Speech Language Pathologist
NPI 1962598946
2450 RIVERSIDE AVE
Minneapolis, MN 55454
(612) 672-6000
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1063186435
2090 WOODWINDS DR
Woodbury, MN 55125
(651) 968-5201
✔ Accepts Medicare17 mi
Qualified Speech Language Pathologist
NPI 1942178421
3720 23RD AVE S
Minneapolis, MN 55407
(651) 253-5002
✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1437789997
1 VETERANS DR
Minneapolis, MN 55417
(612) 725-2000
✔ Accepts Medicare20 mi
Physical Therapist in Private Practice
NPI 1265841332
7505 COUNTRY CLUB DR
Golden Valley, MN 55427
(763) 450-6902
✔ Accepts Medicare21 mi
Occupational Therapist in Private Practice
NPI 1992545974
9000 GOLDEN VALLEY RD
Crystal, MN 55427
(763) 543-9000
✔ Accepts Medicare22 mi
Occupational Therapist in Private Practice
NPI 1619279536
3525 MONTEREY DR
St Louis Park, MN 55416
(952) 993-3044
22 mi
See all 74 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aegis Group Practice LLC's NPI number?

The NPI number for Aegis Group Practice LLC is 1013724863. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Aegis Group Practice LLC located?

Aegis Group Practice LLC is located at 2025 Michaud Way, Centerville, MN 55038. The listed phone number is (479) 201-6091.

What is Aegis Group Practice LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Aegis Group Practice LLC enrolled in Medicare?

Yes. Aegis Group Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aegis Group Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 3 Medicare specialties reassign their Medicare billing to Aegis Group Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Occupational Therapist in Private Practice (35), Physical Therapist in Private Practice (30) and Qualified Speech Language Pathologist (9). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aegis Group Practice LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.