Active NPI
Aegis Group Practice LLC
- Physical Therapist
- Germantown, TN
National Provider Identifier
1891571246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- AEGIS GROUP PRACTICE LLC
- Practice address
- 7900 Wolf River Blvd
Germantown, TN 38138-1838 - Phone
- (800) 444-6845
- NPI assigned
- Sep 1, 2023
- Last updated
- Sep 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy McCall
- Title
- Contract Specialist
- Phone
- (479) 201-6091
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary | |
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
7900 Wolf River Blvd
Germantown, TN 38138-1838
Mailing address
4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231018002544 | TN | Part B Supplier - Clinic/Group Practice | 5193036432 |
Receives reassigned benefits from 93 practitioners 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lexington, TN; Memphis, TN; Milan, TN; Somerville, TN; Jackson, TN; Collierville, TN; Cordova, TN; Dyersburg, TN… |
Other NPIs on the same Medicare enrollment 22
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693526400000",
"number": "1891571246",
"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": "7900 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381838",
"telephone_number": "800-444-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AEGIS GROUP PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "MCCALL",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CONTRACT SPECIALIST",
"authorized_official_telephone_number": "479-201-6091"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
- Elizabeth Hyun McGuire Addison, PT
- Advanced Dermatology and Skin Cancer Associates, PLLC
- Advanced Internal Medicine PLLC
- Advanced Kidney Care
- Aegis Group Practice LLC
- Agano Home Care LLC
- Ageless Women's Health TN LLC
- Agilitas USA, Inc (Results Physiotherapy)
- Agilitas USA, Inc (Results Physiotherapy)
- Agilitas USA, Inc (Results Physiotherapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.