Aegis Group Practice LLC
NPI 1245922681ActiveOrganization· Physical Therapist· Brooklyn Park, MN
Physical Therapist in Brooklyn Park, Minnesota, registered in NPPES in May 2023. The authorized official on file is Misty S. Wilson, Credentialing Specialist.
Overview
| NPI | 1245922681 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2023 |
| Last updated in NPPES | May 24, 2023 |
| Certified by provider | May 24, 2023 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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