Aegis Group Practice LLC
NPI 1578392601ActiveOrganization· Physical Therapist· Maple Grove, MN
Physical Therapist in Maple Grove, Minnesota, registered in NPPES in July 2024. The authorized official on file is Tracy McCall, Credentialing.
Overview
| NPI | 1578392601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2024 |
| Last updated in NPPES | Jul 29, 2024 |
| Certified by provider | Jul 18, 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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