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 1700396330

Aegis Group Practice LLC is a Physical Therapist in Fort Walton Beach, Florida. 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

1001 Mar Walt Dr Apt 112
Fort Walton Beach, FL 32547-6745
Phone: (800) 444-6845
Fax: (844) 640-6066
Show map & directions

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 number1700396330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael McOlvin — Vp-Finance · (479) 201-2000
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017
Mailing address1000 Fianna Way # Md5740, Fort Smith, AR 72919-9008

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