AEGIS GROUP PRACTICE LLC
NPI 1366900136
Physical Therapist in Port Washington, WI

Active since March 11, 2019
1330 W LINCOLN AVE, PORT WASHINGTON, WI 53074(800) 444-6845 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2022, Mar 11, 2019 (2 updates tracked since 2019).

About Aegis Group Practice Llc NPPES

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

AEGIS GROUP PRACTICE LLC (NPI 1366900136) is a healthcare organization registered as a physical therapist in Port Washington, Wisconsin and active in the NPI registry since March 2019. The organization lists Misty S Wilson, Contract/credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366900136
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameAEGIS GROUP PRACTICE LLC
Location Address1330 W LINCOLN AVEPort Washington, WI 53074-2050
Mailing Address2601 Network Blvd Ste 102Frisco, TX 75034-9092 · (972) 372-6779 · Fax (479) 668-0872
Organization SubpartNo
Authorized OfficialMisty S WilsonContract/credentialing Specialist · (972) 372-6779
Enumeration DateMarch 11, 2019
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1366900136 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
1330 W LINCOLN AVE, Port Washington, WI 53074

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

Accepted Insurance

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

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Aegis Group Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice29
Occupational Therapist in Private Practice25
Qualified Speech Language Pathologist9

Nearest to this location (20)

See all 63
Qualified Speech Language Pathologist
NPI 1811534514
1300 W LINCOLN AVE
Port Washington, WI 53074
(414) 708-3652
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1205257201
924 N GRANT ST
Port Washington, WI 53074
(262) 707-3464
✔ Accepts Medicare1.2 mi
Occupational Therapist in Private Practice
NPI 1457993248
W57N517 HILBERT AVE APT 19
Cedarburg, WI 53012
(708) 465-7739
✔ Accepts Medicare7.7 mi
Occupational Therapist in Private Practice
NPI 1730750639
W76N677 WAUWATOSA RD
Cedarburg, WI 53012
(262) 377-5060
✔ Accepts Medicare8.2 mi
Physical Therapist in Private Practice
NPI 1902572571
621 SPRING CT
Random Lake, WI 53075
(920) 960-0505
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1881842698
5595 COUNTY ROAD Z
West Bend, WI 53095
(262) 306-2100
✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1689708976
N112W17975 MEQUON RD
Germantown, WI 53022
(262) 532-7680
17 mi
Physical Therapist in Private Practice
NPI 1225213390
1616 W BENDER RD
Glendale, WI 53209
(414) 228-8700
✔ Accepts Medicare18 mi
Occupational Therapist in Private Practice
NPI 1942848387
17700 W CAPITOL DR
Brookfield, WI 53045
(262) 781-3083
✔ Accepts Medicare24 mi
Physical Therapist in Private Practice
NPI 1134338890
1032 E SUMNER ST
Hartford, WI 53027
(262) 670-4300
24 mi
Occupational Therapist in Private Practice
NPI 1053357814
111 W MICHIGAN ST
Milwaukee, WI 53203
(414) 908-8000
24 mi
Occupational Therapist in Private Practice
NPI 1598140683
604 N 16TH ST RM 104
Milwaukee, WI 53233
(414) 288-6122
✔ Accepts Medicare24 mi
Occupational Therapist in Private Practice
NPI 1649556275
3360 GATEWAY RD STE 100
Brookfield, WI 53045
(262) 923-7101
✔ Accepts Medicare26 mi
Occupational Therapist in Private Practice
NPI 1043748890
800 WALL ST
Elm Grove, WI 53122
(262) 282-8459
✔ Accepts Medicare26 mi
Occupational Therapist in Private Practice
NPI 1033970934
1125 N 13TH ST
Sheboygan, WI 53081
(920) 803-1617
✔ Accepts Medicare26 mi
Physical Therapist in Private Practice
NPI 1699925321
3933 S PRAIRIE HILL LN HICKORY PARK - APT 316
Greenfield, WI 53228
(414) 546-3371
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1285945055
7517 W COLDSPRING RD
Greenfield, WI 53220
(414) 327-6603
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1962795021
9000 W SURA LN
Greenfield, WI 53228
(414) 246-6800
30 mi
Qualified Speech Language Pathologist
NPI 1073857520
1421 E RACINE AVE APT C
Waukesha, WI 53186
(239) 261-2554
✔ Accepts Medicare31 mi
Qualified Speech Language Pathologist
NPI 1053862763
4655 S HUNTER LN
New Berlin, WI 53151
(414) 412-1759
✔ Accepts Medicare31 mi
See all 63 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 1366900136. It was assigned to this organization in the NPPES registry on March 11, 2019.

Where is Aegis Group Practice LLC located?

Aegis Group Practice LLC is located at 1330 W Lincoln Ave, Port Washington, WI 53074. The listed phone number is (800) 444-6845.

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), 63 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 (29), Occupational Therapist in Private Practice (25) and Qualified Speech Language Pathologist (9). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aegis Group Practice LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Aegis Group Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aegis Group Practice LLC was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.