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

Organization Physical Therapist · NPI 1700384021

Aegis Group Practice, LLC is a Physical Therapist in Jacksonville, Florida. Registered with an NPI since 2018.

In the registry since
2018
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

12350 San Jose Blvd
Jacksonville, FL 32223-2641
Phone: (800) 444-6845
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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 number1700384021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael McOlvin — Vp - Finance · (479) 201-2000
NPI enumeratedFebruary 1, 2018
Last updated in NPPESFebruary 1, 2018
Mailing address1000 Fianna Way, Fort Smith, AR 72919-9008

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