Aegis Group Practice LLC
NPI 1427774959ActiveOrganization· Physical Therapist· Albuquerque, NM
Physical Therapist in Albuquerque, New Mexico, registered in NPPES in October 2022. The authorized official on file is Misty S. Wilson, Contract/Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427774959 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2022 |
| Last updated in NPPES | Oct 17, 2022 |
| Certified by provider | Oct 17, 2022 |
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 (NM) |
|---|
Other Physical Therapist providers in Albuquerque
- 1386134625
- 1346455037
- 1841132669
- 1013062207
- 1013747401
- 1467584847
- 1619752961
- 1346688645
- 1689724551
- 1427415173
- 1215718705
- 1699859868