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Aegis Group Practice LLC

Physical Therapist in Port Washington, WI · enumerated 2019 · authorized official Misty Wilson, Contract/Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366900136

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Registry record

Entity type Organization (Type 2)
Legal business name Aegis Group Practice LLC
Practice address 1330 W Lincoln Ave, Port Washington, WI, 53074
Phone (800) 444-6845
Enumeration date Mar 11, 2019
Last updated in NPPES Sep 15, 2022

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Misty Wilson
Title Contract/Credentialing Specialist
Phone (972) 372-6779

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.

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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).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-15.