AEGIS GROUP PRACTICE LLC
NPI 1275392458
Physical Therapist in Olive Branch, MS

Active since March 18, 2024
9684 GOODMAN RD, OLIVE BRANCH, MS 38654(479) 201-6091 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Aegis Group Practice Llc NPPES

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

AEGIS GROUP PRACTICE LLC (NPI 1275392458) is a healthcare organization registered as a physical therapist in Olive Branch, Mississippi and active in the NPI registry since March 2024. The organization lists Tracy Mccall, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1275392458
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameAEGIS GROUP PRACTICE LLC
Location Address9684 GOODMAN RDOlive Branch, MS 38654-1726
Mailing Address4933 Old Greenwood RdFort Smith, AR 72903-6906
Organization SubpartNo
Authorized OfficialTracy MccallCredentialing · (479) 201-6091
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1275392458 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
9684 GOODMAN RD, Olive Branch, MS 38654

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, revalidation 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).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20160126001261Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Aegis Group Practice LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice10
Occupational Therapist in Private Practice6
Qualified Speech Language Pathologist5

Nearest to this location (20)

See all 21
Physical Therapist in Private Practice
NPI 1083025001
3964 GOODMAN RD E SUITE 111
Southaven, MS 38672
(662) 890-6953
✔ Accepts Medicare5.9 mi
Occupational Therapist in Private Practice
NPI 1427557388
513 SANDY RIDGE RD
Byhalia, MS 38611
(901) 268-7223
✔ Accepts Medicare6.9 mi
Physical Therapist in Private Practice
NPI 1609109164
7160 TCHULAHOMA RD
Southaven, MS 38671
(662) 349-2733
✔ Accepts Medicare7.7 mi
Physical Therapist in Private Practice
NPI 1508468851
2136 STATELINE RD W STE B-C
Southaven, MS 38671
(901) 335-4135
✔ Accepts Medicare8.4 mi
Physical Therapist in Private Practice
NPI 1356478606
7900 AIRWAYS BLVD BLDG A, STE 2
Southaven, MS 38671
(662) 536-4096
✔ Accepts Medicare9.7 mi
Occupational Therapist in Private Practice
NPI 1841926086
1751 DANCY BLVD STE 2
Horn Lake, MS 38637
(901) 292-5313
✔ Accepts Medicare12 mi
Qualified Speech Language Pathologist
NPI 1801043450
2860 NESBIT RD
Nesbit, MS 38651
(901) 833-0920
✔ Accepts Medicare14 mi
Occupational Therapist in Private Practice
NPI 1245900653
131 N TUCKER ST
Memphis, TN 38104
(901) 726-5600
✔ Accepts Medicare16 mi
Qualified Speech Language Pathologist
NPI 1225740491
2805 CHARLES BRYAN RD
Bartlett, TN 38134
(901) 701-5995
✔ Accepts Medicare17 mi
Qualified Speech Language Pathologist
NPI 1245542299
104 SKYLINE DR
Oxford, MS 38655
(662) 380-5170
✔ Accepts Medicare44 mi
Occupational Therapist in Private Practice
NPI 1174850192
117 BRIGADE AVE
Canton, MS 39046
(601) 720-5793
✔ Accepts Medicare169 mi
Physical Therapist in Private Practice
NPI 1679863245
105 LEXINGTON DR H
Madison, MS 39110
(601) 910-7300
✔ Accepts Medicare170 mi
Occupational Therapist in Private Practice
NPI 1831384312
711 AVIGNON DR
Ridgeland, MS 39157
(601) 605-6777
176 mi
Occupational Therapist in Private Practice
NPI 1649052283
619 HIGHLAND COLONY PKWY
Ridgeland, MS 39157
(601) 942-8779
✔ Accepts Medicare176 mi
Physical Therapist in Private Practice
NPI 1063840163
533B KEYWAY DR
Flowood, MS 39232
(601) 420-0717
✔ Accepts Medicare182 mi
Physical Therapist in Private Practice
NPI 1235184169
809 N STATE ST
Jackson, MS 39202
(601) 354-5722
✔ Accepts Medicare184 mi
Physical Therapist in Private Practice
NPI 1043987647
13010 HWY 18
Raymond, MS 39154
(601) 857-2229
190 mi
Physical Therapist in Private Practice
NPI 1083477574
2113 MEMORIAL BLVD STE D
Murfreesboro, TN 37129
(615) 640-6447
✔ Accepts Medicare204 mi
Qualified Speech Language Pathologist
NPI 1194921155
103 GOSSMAN RD
Southern Pines, NC 28387
(910) 692-7293
✔ Accepts Medicare592 mi
Qualified Speech Language Pathologist
NPI 1437922085
184 HIGH ST FL 7
Boston, MA 02110
(866) 600-7598
✔ Accepts Medicare1,132 mi
See all 21 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 1275392458. It was assigned to this organization in the NPPES registry on March 18, 2024.

Where is Aegis Group Practice LLC located?

Aegis Group Practice LLC is located at 9684 Goodman Rd, Olive Branch, MS 38654. 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.

When is Aegis Group Practice LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Aegis Group Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 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 Physical Therapist in Private Practice (10), Occupational Therapist in Private Practice (6) and Qualified Speech Language Pathologist (5). Of these, 5 practice within 10 miles. 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 March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.