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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

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

800 Patricia Ave
Dunedin, FL 34698
Phone (727) 773-9333

10451 Bells Ferry Rd
Canton, GA 30114
Phone (470) 508-8819

7155 S Dearing Rd
Covington, GA 30014

4999 Prestley Mill Rd
Douglasville, GA 30135
Phone (470) 344-1331

9 Sherwood Ln SE
Marietta, GA 30067
Phone (404) 642-5497

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

4401 Shallowford Rd
Ste 158
Roswell, GA 30075

550 Barrington Dr
Roswell, GA 30075
Phone (513) 497-1982

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

3470 N Alpine Rd
Rockford, IL 61114
Phone (815) 668-7333

306 Middletown Park Pl
Ste B
Louisville, KY 40243
Phone (502) 276-4706

2025 Michaud Way
Centerville, MN 55038
Phone (651) 316-0951

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

1701 NW Jefferson St
Blue Springs, MO 64015
Phone (816) 220-1739

251 Plaza Dr
#9029
Wildwood, MO 63040

3850 Highway 45 N
Meridian, MS 39301
Phone (601) 912-0373

470 Maxwell Plz
Omaha, NE 68154
Phone (402) 235-4446

1535 Appling Care Ln
Cordova, TN 38016
Phone (901) 203-5228

705 Lake Rd
Dyersburg, TN 38024
Phone (731) 286-5725

500 River Pointe Dr
Conroe, TX 77304
Phone (936) 207-1265

111 Owen Rd
Monona, WI 53716
Phone (608) 441-9990

3770 Emerald Dr E
Onalaska, WI 54650
Phone (608) 615-4700

831 E Washington St
West Bend, WI 53095
Phone (262) 335-1992

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": "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": []
}

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.