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Aegis Group Practice LLC

Aegis Group Practice LLC is a healthcare organization registered as Physical Therapist in Springfield, IL, holding Type 2 (organization) NPI 1265205736 since 2023. The authorized official on file is Tracy Mccall, Credentialing.

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NPI 1265205736
Entity type Organization (Type 2)
Legal business name Aegis Group Practice LLC
Practice address 4012 COCKRELL LN, Springfield, IL, 62711
Phone 4792016091
Enumeration date 2023-11-06
Last updated in NPPES 2023-11-06

Authorized official

Name Tracy Mccall
Title Credentialing
Phone 4792016091

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: 1265205736
Taxonomy: 225100000X (Physical Therapist)
Address: 4012 COCKRELL LN, Springfield, IL, 62711

Providers at this address

NPI Name Type Specialty Location
1184590747 1402 Cockrell LLC Organization Mental Health Clinic/Center (Including Community Mental Health Center) Springfield, IL

Verify this record

Cross-check NPI 1265205736 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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Aegis Group Practice LLC?
Aegis Group Practice LLC is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-06.