Aegis Group Practice LLC
NPI 1275304495ActiveOrganization· Physical Therapist· Murray, UT
Physical Therapist in Murray, Utah, registered in NPPES in January 2024. The authorized official on file is Tracy McCall, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275304495 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2024 |
| Last updated in NPPES | Jan 16, 2024 |
| Certified by provider | Jan 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) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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