NPIMap

Organization Active NPI

Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
National Provider Identifier
1932072030
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AEGIS GROUP PRACTICE LLC
Practice address
1894 S Patrick Dr
Indian Harbour Beach, FL 32937-4324
Phone
(479) 201-6091
NPI assigned
Sep 25, 2025
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1894 S Patrick Dr
Indian Harbour Beach, FL 32937-4324

Mailing address

4933 Old Greenwood Rd
Fort Smith, AR 72903-6906
Phone (479) 201-6091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170720002185 FL Part B Supplier - Clinic/Group Practice 5193036432 Receives reassigned benefits from 17 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indian Harbour Beach, FL; Pensacola, FL

Other NPIs on the same Medicare enrollment 24

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

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Marguerite Thompson PT216 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4240 Town Center Blvd
El Dorado Hills, CA 95762
Phone (916) 693-7813

45160 Seeley Dr
La Quinta, CA 92253

227 E Anapamu St
Santa Barbara, CA 93101
Phone (310) 531-3099

1100 5th Ave S
Naples, FL 34102

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

8601 Queen Bee Dr
Columbus, GA 31909
Phone (706) 604-5708

2711 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 386-3773

13943 Highway 9 N
Milton, GA 30004

25 Newnan Lakes Blvd
Newnan, GA 30263
Phone (678) 395-4202

4401 Shallowford Rd
Ste 158
Roswell, GA 30075

1155 Mount Vernon Hwy
Ste 650
Sandy Springs, GA 30338
Phone (800) 638-1187

201 Evergreen Ter
Stockbridge, GA 30281
Phone (678) 870-4787

306 Middletown Park Pl
Ste B
Louisville, KY 40243
Phone (502) 290-2553

11372 Robinson Dr NW
Coon Rapids, MN 55433
Phone (763) 216-3066

1700 Beam Ave
Saint Paul, MN 55109
Phone (651) 564-2674

2100 Johnston Dr
Raymore, MO 64083
Phone (816) 322-2111

3302 N Woodbine Rd
Saint Joseph, MO 64505
Phone (816) 279-0774

251 Plaza Dr
#9029
Wildwood, MO 63040

701 Simpson Rd
Anderson, SC 29621
Phone (864) 226-5505

14691 Highway 22 N
Lexington, TN 38351
Phone (731) 249-5970

2586 Valley Rd
Plymouth, WI 53073
Phone (920) 892-4635

Practitioners & affiliated clinicians

Practitioners 638

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.

View all 638

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1932072030",
    "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",
            "telephone_number": "479-201-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 S PATRICK DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374324",
            "telephone_number": "479-201-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "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": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.