Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aegis Group Practice LLC

Organization Physical Therapist · NPI 1033081112

Aegis Group Practice LLC is a Physical Therapist in Wayzata, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

875 Wayzata Blvd W
Wayzata, MN 55391-9418
Phone: (479) 201-6091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1033081112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy McCall — Credentialing · (479) 201-6091
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address4933 Old Greenwood Rd, Fort Smith, AR 72903-6906

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