Aegis Group Practice LLC

NPI #1598489189 in Charlestown, Indiana

Provider Information

NPI Number: 1598489189
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 28, 2022
Last Updated: Nov 25, 2025

Practice Location

Address: 2400 MARKET ST
City: Charlestown
State: Indiana
ZIP Code: 47111-7816
Phone: (800) 444-6845

Authorized Official

Name: MISTY S WILSON
Title: CONTRACT & CREDENTIALING REP
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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