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

Aegis Therapies - Minnesota Rehab LLC

Organization Physical Therapist · NPI 1417729682

Aegis Therapies - Minnesota Rehab LLC is a Physical Therapist in Lake Elmo, Minnesota. 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

192 Jade Trl N
Lake Elmo, MN 55042-4496
Phone: (479) 201-6091
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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 number1417729682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy McCall — Credentialing · (479) 201-6091
NPI enumeratedOctober 23, 2023
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address4933 Old Greenwood Rd, Fort Smith, AR 72903-6906

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