Aegis Group Practice LLC
NPI 1992423974ActiveOrganization· Physical Therapist· Faribault, MN
Physical Therapist in Faribault, Minnesota, registered in NPPES in August 2022. The authorized official on file is Misty S. Wilson, Contract/Credentialing Specialist.
Overview
| NPI | 1992423974 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2022 |
| Last updated in NPPES | Aug 16, 2022 |
| Certified by provider | Aug 16, 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 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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