AEGIS GROUP PRACTICE, LLC
NPI 1902517444
Physical Therapist in La Quinta, CA

Active since December 06, 2022
45160 SEELEY DR, LA QUINTA, CA 92253(800) 444-6845(479) 478-2852 Get Directions Write a Review

NPPES record last updated: December 6, 2022. 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 1902517444) is a healthcare organization registered as a physical therapist in La Quinta, California and active in the NPI registry since December 2022. The organization lists Misty S Wilson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1902517444
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameAEGIS GROUP PRACTICE, LLC
Location Address45160 SEELEY DRLa Quinta, CA 92253-6890
Mailing Address2601 Network Blvd Ste 102Frisco, TX 75034-9092 · (972) 372-6779 · Fax (479) 668-0872
Fax(479) 478-2852
Organization SubpartNo
Authorized OfficialMisty S WilsonCredentialing Specialist · (972) 372-6779
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1902517444 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
45160 SEELEY DR, La Quinta, CA 92253

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

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Aegis Group Practice, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Physical Therapist in Private Practice
NPI 1184040289
142 TRELLIS LN
Irvine, CA 92620
(619) 300-8162
✔ Accepts Medicare85 mi
Physical Therapist in Private Practice
NPI 1841508124
5219 PAL MAL AVE
Temple City, CA 91780
(626) 348-6818
✔ Accepts Medicare104 mi
Physical Therapist in Private Practice
NPI 1902110067
2112 N KENWOOD ST
Burbank, CA 91505
(132) 196-1277
123 mi
Physical Therapist in Private Practice
NPI 1386430890
227 E ANAPAMU ST
Santa Barbara, CA 93101
(310) 531-3099
✔ Accepts Medicare202 mi
Occupational Therapist in Private Practice
NPI 1740965649
2323 DE LA VINA ST STE 106
Santa Barbara, CA 93105
(805) 682-3055
✔ Accepts Medicare203 mi
Physical Therapist in Private Practice
NPI 1083481857
MARQUIS SHASTA POST ACUTE REHAB 3550 CHURN CREEK RD
Reddding, CA 96002
(530) 222-3630
575 mi
Physical Therapist in Private Practice
NPI 1407220940
1047 CENTURY DR
Edwardsville, IL 62025
(618) 307-3434
✔ Accepts Medicare1,505 mi
Occupational Therapist in Private Practice
NPI 1891044293
3158 MAIN ST
Bondsville, MA 01009
(413) 289-9085
2,442 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 1902517444. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Aegis Group Practice, LLC located?

Aegis Group Practice, LLC is located at 45160 Seeley Dr, La Quinta, CA 92253. 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), 8 clinicians in 2 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 (6) and Occupational Therapist in Private Practice (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 December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.