Aegis Group Practice LLC

Organization Active NPI Physical Therapist · Eden Prairie, MN

NPI 1285543439 · NPPES record last updated Sep 3, 2026

Key facts

NPI
1285543439
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
AEGIS GROUP PRACTICE LLC
Practice address
10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100
Phone
(479) 201-6037
NPI assigned
Sep 3, 2026
Organization subpart
No

Authorized official

Name
Terry Lamb
Title
Credentialing
Phone
(479) 201-6037

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X

Addresses

Primary practice location

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100

Mailing address

4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Phone (479) 201-6037

Other providers in Eden Prairie, MN

All providers in Eden Prairie, MN · Physical Therapist in Minnesota

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.