Aegis Group Practice LLC
NPI 1043001951ActiveOrganization· Physical Therapist· White Bear Lake, MN
Physical Therapist in White Bear Lake, Minnesota, registered in NPPES in May 2025. The authorized official on file is Tracy McCall, Credentialing.
Overview
| NPI | 1043001951 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2025 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in White Bear Lake
- 1548341423
- 1508452236
- 1821467242
- 1891208245
- 1215225503
- 1811085525
- 1891980819
- 1326663030
- 1104505668
- 1912697889
- 1770861395
- 1710398300