Lacey Moody
NPI 1083025001ActiveIndividual· Physical Therapist· Southaven, MS
Physical Therapist with Aegis Group Practice LLC, practicing in Southaven, Mississippi. Medicare paid $65,475 for services to 70 patients in 2024.
Overview
| NPI | 1083025001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 13, 2014 |
| Last updated in NPPES | May 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT5426 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MS); Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 3,814 across 9 procedure codes |
| Paid by Medicare | $65,475 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
| Telehealth | Offers telehealth |
Medical group
- Aegis Group Practice LLCToledo, OH · 390 clinicians
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All 76 physical therapists in Southaven · All physical therapists in Mississippi