OrganizationActive
Aegis Group Practice LLC
NPI 1316514474 · Physical Therapist · Maple Grove, MN
Provider details
- NPI number
- 1316514474
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Britt Jeffcoat, Senior Vp(972) 372-6799
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
16500 92nd Ave N
Maple Grove, MN 55311-5444
Phone: (800) 444-6845
Approximate (ZIP-level) locationGet directions
Mailing address
2601 Network Blvd Ste 102
Frisco, TX 75034-9092
Registry dates
- Enumerated
- 2021-06-08
- Last updated
- 2021-06-08
- Certified
- 2021-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.