Aegis Group Practice, LLC
Aegis Group Practice, LLC is a healthcare organization registered as Occupational Therapist in Jacksonville, FL, holding Type 2 (organization) NPI 1700384021 since 2018. The authorized official on file is Michael Mcolvin, Vp - Finance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700384021 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Aegis Group Practice, LLC |
| Practice address | 12350 SAN JOSE BLVD, Jacksonville, FL, 32223 |
| Phone | 8004446845 |
| Enumeration date | 2018-02-01 |
| Last updated in NPPES | 2018-02-01 |
Authorized official
| Name | Michael Mcolvin |
|---|---|
| Title | Vp - Finance |
| Phone | 4792012000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | — | — |
| 235Z00000X | Speech-Language Pathologist | Secondary | — | — |
| 225X00000X | Occupational Therapist | Primary | — | — |
Copy-ready billing details
Provider: Aegis Group Practice, LLC NPI: 1700384021 Taxonomy: 225X00000X (Occupational Therapist) Address: 12350 SAN JOSE BLVD, Jacksonville, FL, 32223
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730667635 | Christopher O'Lessker | Individual | Physical Therapist | Jacksonville, FL |
| 1588203186 | Ariel Grieve | Individual | Occupational Therapist | Jacksonville, FL |
| 1245822519 | Paula Brosz | Individual | Occupational Therapist | Jacksonville, FL |
| 1336725647 | Jennifer Mallon | Individual | Occupational Therapist | Jacksonville, FL |
| 1033793708 | Todd Mitchell | Individual | Physical Therapist | Jacksonville, FL |
Verify this record
Cross-check NPI 1700384021 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?
What is the NPI number for Aegis Group Practice, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-02-01.