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

Aegis Group Practice LLC

Organization Physical Therapist · NPI 1346949443

Aegis Group Practice LLC is a Physical Therapist in Boise, Idaho. Registered with an NPI since 2023.

In the registry since
2023
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

4890 N Cloverdale Rd
Boise, ID 83713-2401
Phone: (800) 444-6845
Fax: (479) 478-2852
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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 number1346949443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Wilson — Contract & Credentialing Specialist · (972) 372-6779
NPI enumeratedFebruary 27, 2023
Last updated in NPPESFebruary 27, 2023
Certification dateFebruary 27, 2023
Mailing address2601 Network Blvd Ste 102, Frisco, TX 75034-9092

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