Aegis Group Practice LLC
NPI 1205643053ActiveOrganization· Physical Therapist· Savage, MN
Physical Therapist in Savage, Minnesota, registered in NPPES in December 2024. The authorized official on file is Tracy McCall, Credentialing.
Overview
| NPI | 1205643053 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2024 |
| Last updated in NPPES | Dec 16, 2024 |
| Certified by provider | Dec 16, 2024 |
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 |
|---|
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