Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
AEGIS GROUP PRACTICE LLC
Active
Organization
AEGIS GROUP PRACTICE LLC
Active
Parent organization
AEGIS GROUP PRACTICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEGIS GROUP PRACTICE LLC
Authorized official
MICHAEL MCOLVIN (VICE PRESIDENT OF FINANCE)
(479) 201-6100
Entity
Organization
Contact information
Practice address
11175 27TH AVE SE, BECKER, MN 55308-4774
(800) 444-6845
(479) 478-2852
Mailing address
1000 FIANNA WAY # MD5740, FORT SMITH, AR 72919-9008
(479) 201-6089
(479) 935-2970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/18/2017
Last updated
03/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers