OrganizationAegis Group Practice LlcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6490 Central Ave NE, Fridley, MN 55432-5106(800) 444-6845(479) 201-6091PECOS EnrollmentBased on the most recent information from CMS, provider Aegis Group Practice Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1467132944Provider TypeOrganizationFull NameAegis Group Practice LlcSubpartNoEnumeration Date7/20/2023Last Updated7/20/2023Contact InformationPractice LocationPractice Address6490 Central Ave NE, Fridley, MN 55432-5106Phone(800) 444-6845FaxUnlisted FaxMailing LocationMailing Address4933 Old Greenwood Rd, Fort Smith, AR 72903-6906Phone(479) 201-6091Fax(479) 935-2918Authorized OfficialNameMccall, Tracy (Contract Specialist)Phone(479) 201-6091Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer