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 1548700610

Aegis Group Practice, LLC is a Physical Therapist in Waite Park, Minnesota. Registered with an NPI since 2017.

In the registry since
2017
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

35 1st Ave N
Waite Park, MN 56387-1225
Phone: (479) 201-2000
Fax: (479) 201-4801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1548700610
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAegis Therapies, Inc
Authorized official Mike McOlvin — Director · (479) 201-2000
NPI enumeratedMarch 8, 2017
Last updated in NPPESMarch 8, 2017
Mailing address1000 Fianna Way # Md4843, Fort Smith, AR 72919-9008

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