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
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
Aegis Group Practice204 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

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

1100 5th Ave S
Naples, FL 34102

3530 Sandalwood Cir
Naples, FL 34109
Phone (239) 770-4367

81 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 875-0066

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

2270 Loganville Hwy
Grayson, GA 30017
Phone (678) 389-3100

5050 Kimball Bridge Rd
Johns Creek, GA 30005
Phone (678) 395-4202

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

11725 Pointe Pl
Roswell, GA 30076
Phone (470) 990-9483

4401 Shallowford Rd
Ste 158
Roswell, GA 30075

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

1507 7th St
Lincoln, IL 62656
Phone (217) 732-2189

9107 Taylorsville Rd
Apt 137
Louisville, KY 40299
Phone (502) 380-6585

11175 27th Ave SE
Becker, MN 55308
Phone (763) 262-8000

251 Plaza Dr
#9029
Wildwood, MO 63040

325 N Cool Spring St
Fayetteville, NC 28301
Phone (910) 323-4925

2331 Westside Blvd SE
Rio Rancho, NM 87124
Phone (505) 546-1884

2526 Monroeville Blvd
Ste 204
Monroeville, PA 15146
Phone (412) 613-1205

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

9001 Telecom Dr
Milan, TN 38358
Phone (731) 592-4583

Practitioners & affiliated clinicians

Practitioners 638

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.