AEGIS GROUP PRACTICE LLC
NPI 1477328177
Physical Therapist in Salem, OR

Active since November 22, 2023
4254 WEATHERS ST NE, SALEM, OR 97301(479) 201-6091 Get Directions Write a Review

NPPES record last updated: November 22, 2023. 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 1477328177) is a healthcare organization registered as a physical therapist in Salem, Oregon and active in the NPI registry since November 2023. The organization lists Tracy Mccall, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477328177
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameAEGIS GROUP PRACTICE LLC
Location Address4254 WEATHERS ST NESalem, OR 97301-1933
Mailing Address4933 Old Greenwood RdFort Smith, AR 72903-6906
Organization SubpartNo
Authorized OfficialTracy MccallCredentialing · (479) 201-6091
Enumeration DateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
✔ NPI 1477328177 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
4254 WEATHERS ST NE, Salem, OR 97301

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

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Aegis Group Practice LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice5
Occupational Therapist in Private Practice4
Qualified Speech Language Pathologist2

Clinicians, nearest first (11)

Occupational Therapist in Private Practice
NPI 1760633408
2691 LANCASTER ST
West Linn, OR 97068
(925) 788-1645
✔ Accepts Medicare33 mi
Occupational Therapist in Private Practice
NPI 1164302360
1200 OVERLOOK DR
Lake Oswego, OR 97034
(503) 636-4589
34 mi
Physical Therapist in Private Practice
NPI 1104687326
1200 OVERLOOK DR
Lake Oswego, OR 97034
(503) 636-4589
✔ Accepts Medicare34 mi
Occupational Therapist in Private Practice
NPI 1346773124
4131 SE GRANT ST
Portland, OR 97214
(816) 896-9386
✔ Accepts Medicare43 mi
Physical Therapist in Private Practice
NPI 1144453846
1160 SW SIMPSON AVE STE 200
Bend, OR 97702
(541) 322-9045
102 mi
Qualified Speech Language Pathologist
NPI 1467958173
123 SW COLUMBIA ST STE 100
Bend, OR 97702
(541) 204-1757
✔ Accepts Medicare102 mi
Occupational Therapist in Private Practice
NPI 1700026465
20244 NARNIA PL
Bend, OR 97702
(541) 219-2106
✔ Accepts Medicare104 mi
Physical Therapist in Private Practice
NPI 1245389782
550 15TH ST SUITE 36A
San Francisco, CA 94103
(415) 701-1000
✔ Accepts Medicare496 mi
Physical Therapist in Private Practice
NPI 1831532183
1952 E 7000 S
Salt Lake City, UT 84121
(801) 942-3311
✔ Accepts Medicare639 mi
Qualified Speech Language Pathologist
NPI 1063161123
1810 OLD GRANGER
Taylor, TX 76574
(512) 352-6337
✔ Accepts Medicare1,703 mi
Physical Therapist in Private Practice
NPI 1497345052
1111 RING RD
Elizabethtown, KY 42701
(270) 706-5010
✔ Accepts Medicare1,973 mi

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 1477328177. It was assigned to this organization in the NPPES registry on November 22, 2023.

Where is Aegis Group Practice LLC located?

Aegis Group Practice LLC is located at 4254 Weathers St NE, Salem, OR 97301. 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), 11 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 (5), Occupational Therapist in Private Practice (4) and Qualified Speech Language Pathologist (2). 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 November 22, 2023. 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.