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Aegis Group Practice LLC

Aegis Group Practice LLC is a healthcare organization registered as Physical Therapist in Glendale, CA, holding Type 2 (organization) NPI 1669171765 since 2023. The authorized official on file is Misty Wilson, Contract & Credentialing Specialist.

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NPI 1669171765
Entity type Organization (Type 2)
Legal business name Aegis Group Practice LLC
Practice address 1551 E CHEVY CHASE DR, Glendale, CA, 91206
Phone 8004446845
Fax 4794782852
Enumeration date 2023-02-27
Last updated in NPPES 2023-02-27

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: 1669171765
Taxonomy: 225100000X (Physical Therapist)
Address: 1551 E CHEVY CHASE DR, Glendale, CA, 91206

Verify this record

Cross-check NPI 1669171765 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

Who is the authorized official for Aegis Group Practice LLC?
NPPES lists Misty Wilson (Contract & Credentialing Specialist) as the authorized official for this organization.
What is the NPI number for Aegis Group Practice LLC?
The NPI for Aegis Group Practice LLC is 1669171765, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-02-27.