Aegis Group Practice LLC
Aegis Group Practice LLC is a healthcare organization registered as Physical Therapist in Goodyear, AZ, holding Type 2 (organization) NPI 1235845504 since 2023. The authorized official on file is Misty Wilson, Contract & Credentialing Specialist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235845504 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Aegis Group Practice LLC |
| Practice address | 14930 W WIGWAM BLVD, Goodyear, AZ, 85395 |
| Phone | 8004446845 |
| Fax | 4794782852 |
| Enumeration date | 2023-01-30 |
| Last updated in NPPES | 2023-01-30 |
Authorized official
| Name | Misty Wilson |
|---|---|
| Title | Contract & Credentialing Specialist |
| Phone | 9723726779 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 235Z00000X | Speech-Language Pathologist | Secondary | — | — |
| 225100000X | Physical Therapist | Primary | — | — |
Copy-ready billing details
Provider: Aegis Group Practice LLC NPI: 1235845504 Taxonomy: 225100000X (Physical Therapist) Address: 14930 W WIGWAM BLVD, Goodyear, AZ, 85395
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306715297 | May Anne Gustafson | Individual | Physical Therapist | Goodyear, AZ |
Verify this record
Cross-check NPI 1235845504 against the authoritative CMS record: view Aegis Group Practice LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Aegis Group Practice LLC?
Who is the authorized official for Aegis Group Practice LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-01-30.