Aegis Group Practice LLC
NPI 1295412773ActiveOrganization· Physical Therapist· Suwanee, GA
Physical Therapist in Suwanee, Georgia, registered in NPPES in June 2023. The authorized official on file is Misty S. Wilson, Contract & Credentialing Rep. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295412773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2023 |
| Last updated in NPPES | Jun 28, 2023 |
| Certified by provider | Jun 28, 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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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