Aegis Group Practice LLC
Physical Therapist in Beaverton, Oregon
1922803402- Practice location
- 5450 SW Erickson Ave, Beaverton, OR 97005-4018
- Phone
- 479-201-6091
- Fax
- —
- Last updated
- February 18, 2025
Aegis Group Practice LLC is a healthcare organization based in Beaverton, OR. The NPI number for Aegis Group Practice LLC is 1922803402. The current practice location address is 5450 SW Erickson Ave, Beaverton, OR 97005-4018 and the office can be reached by phone at 479-201-6091. The NPI was assigned on February 18, 2025 and the record was last updated in NPPES on February 18, 2025.
●Provider Profile Details
- NPI Number
- 1922803402
- Provider Name
- Aegis Group Practice LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- No
- Authorized Official
- Tracy Mccall · Credentialing · 479-201-6091
- Enumeration Date
- February 18, 2025
- Last Update Date
- February 18, 2025
- Certification Date
- February 18, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 5450 SW Erickson Ave
Beaverton, OR 97005-4018 - City
- Beaverton
- State
- Oregon
- ZIP
- 97005-4018
- Country
- US
- Phone Number
- 479-201-6091
✉Business Mailing Address
- Address
- 4933 Old Greenwood RD
Fort Smith, AR 72903-6906 - City
- Fort Smith
- State
- AR
- ZIP
- 72903-6906
- Phone Number
- 479-201-6091
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physical Therapist 193200000X - Multi-Specialty Group | 225100000X | Yes | — | — |
| Occupational Therapist 193200000X - Multi-Specialty Group | 225X00000X | No | — | — |
| Speech-Language Pathologist, 193200000X - Multi-Specialty Group | 235Z00000X | No | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Beaverton →?Frequently Asked Questions
What is the NPI number of Aegis Group Practice LLC?
The NPI number of Aegis Group Practice LLC is 1922803402. It was assigned on February 18, 2025 and is currently active in the NPPES registry.
What is the specialty of Aegis Group Practice LLC?
Aegis Group Practice LLC is registered under the primary taxonomy Physical Therapist (code 225100000X).
Where does Aegis Group Practice LLC practice?
The practice location is 5450 SW Erickson Ave, Beaverton, OR 97005-4018. The office can be reached at 479-201-6091 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922803402 directly on the NPPES registry website at npiregistry.cms.hhs.gov.