Aegis Group Practice LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AEGIS GROUP PRACTICE LLC

Practice address

4240 Town Center Blvd
El Dorado Hills, CA 95762-7143

Phone

(479) 201-6091

NPI assigned

Oct 10, 2023

Last updated

Oct 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy McCall

Title

Credentialing

Phone

(479) 201-6091

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Aegis Group Practice LLC

  • Physical Therapist
  • La Quinta, CA
  • NPI 1598412975

  O20211229002141

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Santa Barbara, CA
  • NPI 1649933441

  O20211229002141

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Glendale, CA
  • NPI 1669171765

  O20211229002141

  Same enrollment
• Aegis Group Practice, LLC

  • Physical Therapist
  • La Quinta, CA
  • NPI 1902517444

  O20211229002141

  Same enrollment
• Aegis Group Practice LLC

  • Physical Therapist
  • Fall River, WI
  • NPI 1164121257

  O20211229002141

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Hug, PT

  • Physical Therapist
  • Irvine, CA
  • NPI 1184040289
  NPD
• Sarah Jean Zabek, OTR

  • Occupational Therapist
  • Bondsville, MA
  • NPI 1891044293
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1053192559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 OLD GREENWOOD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 TOWN CENTER BLVD",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627143",
            "telephone_number": "479-201-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "479-201-6091"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Action Home Nursing Services, Inc.
• Acu Om
• Karen Adkinson
• Kayla Adov
• Advanced Foothills Medics
• Afton L Arnold
• Agewell Physical Therapy
• Agewell Physical Therapy Inc
• Nelly Aghili, AGACNP-BC
• Samantha Rae Agostini

• Physical Therapist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.