AEGIS GROUP PRACTICE LLC
NPI 1639988363
Physical Therapist in Orono, MN

Active since January 07, 2025
2635 KELLEY PKWY, ORONO, MN 55356(479) 201-6091 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2026, Jan 7, 2025 (2 updates tracked since 2025).

About Aegis Group Practice Llc NPPES

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

AEGIS GROUP PRACTICE LLC (NPI 1639988363) is a healthcare organization registered as a physical therapist in Orono, Minnesota and active in the NPI registry since January 2025. The organization lists Tracy Mccall, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1639988363
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameAEGIS GROUP PRACTICE LLC
Location Address2635 KELLEY PKWYOrono, MN 55356-4556
Mailing Address4933 Old Greenwood RdFort Smith, AR 72903-6906 · (479) 201-6091
Organization SubpartNo
Authorized OfficialTracy MccallCredentialing · (479) 201-6091
Enumeration DateJanuary 7, 2025
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1639988363 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
2635 KELLEY PKWY, Orono, MN 55356

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. Of these, 6 practice within 10 miles. 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 1366201626
1861 COMMERCE BLVD
Mound, MN 55364
(952) 240-3285
4.9 mi
Occupational Therapist in Private Practice
NPI 1376387159
1861 COMMERCE BLVD
Mound, MN 55364
(612) 430-8150
✔ Accepts Medicare4.9 mi
Occupational Therapist in Private Practice
NPI 1558073882
10653 WAYZATA BLVD STE 200
Minnetonka, MN 55305
(612) 364-1901
✔ Accepts Medicare8.7 mi
Occupational Therapist in Private Practice
NPI 1043586613
709 NORTHWOOD DR
Delano, MN 55328
(612) 619-9902
9.5 mi
Occupational Therapist in Private Practice
NPI 1992545974
9000 GOLDEN VALLEY RD
Crystal, MN 55427
(763) 543-9000
✔ Accepts Medicare9.6 mi
Occupational Therapist in Private Practice
NPI 1134445950
1772 STIEGER LAKE LN
Victoria, MN 55386
(952) 443-9888
✔ Accepts Medicare9.6 mi
Occupational Therapist in Private Practice
NPI 1528955572
16500 92ND AVE N
Maple Grove, MN 55311
(763) 496-6328
✔ Accepts Medicare10 mi
Occupational Therapist in Private Practice
NPI 1700740644
16500 92ND AVE N
Maple Grove, MN 55311
(763) 493-5910
✔ Accepts Medicare10 mi
Physical Therapist in Private Practice
NPI 1265841332
7505 COUNTRY CLUB DR
Golden Valley, MN 55427
(763) 450-6902
✔ Accepts Medicare11 mi
Occupational Therapist in Private Practice
NPI 1013573724
168 PIONEER TRL STE 235
Chaska, MN 55318
(952) 856-0844
11 mi
Occupational Therapist in Private Practice
NPI 1538985346
6545 FLYING CLOUD DR STE 201
Eden Prairie, MN 55344
(612) 364-1901
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1154945251
6901 MEADOWBROOK BLVD APT 289
St Louis Park, MN 55426
(480) 510-7804
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1285512889
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
(952) 993-5000
✔ Accepts Medicare12 mi
Occupational Therapist in Private Practice
NPI 1619279536
3525 MONTEREY DR
St Louis Park, MN 55416
(952) 993-3044
13 mi
Physical Therapist in Private Practice
NPI 1205513629
5601 94TH AVE N
Brooklyn Park, MN 55443
(763) 401-2461
✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1801133012
24510 141ST AVE N
Rogers, MN 55374
(763) 428-8587
✔ Accepts Medicare15 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
Qualified Speech Language Pathologist
NPI 1942178421
3720 23RD AVE S
Minneapolis, MN 55407
(651) 253-5002
✔ Accepts Medicare18 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 1639988363. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Aegis Group Practice LLC located?

Aegis Group Practice LLC is located at 2635 Kelley Pkwy, Orono, MN 55356. 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). Of these, 6 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 May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.