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 1881311421

Aegis Group Practice LLC is a Physical Therapist in Saint Michael, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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

4400 Lange Ave NE
Saint Michael, MN 55376-9556
Phone: (763) 777-9445
Fax: (479) 401-2173
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 number1881311421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Wilson — Contract/Credentialing Rep · (972) 372-6779
NPI enumeratedOctober 25, 2022
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address2601 Network Blvd Ste 102, Frisco, TX 75034-9092

Other providers in Saint Michael