Aegis Group Practice LLC

NPI #1144905993 in Plano, Texas

Provider Information

NPI Number: 1144905993
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 20, 2023
Last Updated: Oct 29, 2025

Practice Location

Address: 3401 PREMIER DR
City: Plano
State: Texas
ZIP Code: 75023-7087
Phone: (800) 444-6845

Authorized Official

Name: MISTY S WILSON
Title: CONTRACT/CREDENTIALING SPECIALIST
Phone: (972) 372-6779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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