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ProActive Physical Therapy Specialists

ProActive Physical Therapy Specialists Vendor Cyber Rating & Cyber Score

proactivepts.com

Proactive Physical Therapy Specialists (PPTS) is an Oregon and Washington State-based, private physical therapy practice group. As a proud member of the Confluent Health family, PPTS positively impacts patients' lives by delivering the best care and results through proven research, innovative treatments and technologies, and an approach that treats patients like family. For more information, visit proactivepts.com, or find them on Facebook at @proactivewa.


PPTS A.I CyberSecurity Scoring

PPTS
Company Information
Website:https://proactivepts.com/
Employees number:68
Number of followers:362
NAICS:62134
Industry Type:Physical, Occupational and Speech Therapists
Homepage:proactivepts.com
PPTS Risk Score (AI oriented)
Between 700 and 749
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PPTSPhysical, Occupational and Speech Therapists
Updated:
28/07/2026
735/1000
Moderate
Ba
AaaAaABaaBaBCaaCaC
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PPTS Global Score (TPRM)
xxxx
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PPTSPhysical, Occupational and Speech Therapists
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Findings

PPTS
PPTSModerate
Current Score
735Ba (MODERATE)
01000
1 incidents
-21 avg impact
Incident timeline with MITRE ATT&CK tactics, techniques, and mitigations.
AUGUST 2026
735Before Incident
JULY 2026
756Before Incident
Cyber Attack
28 Jul 2026PPTS
Active Directory: How DCSync Attack Helps Hackers Steal Password Hashes Silently from Active Directory

DCSync Attack: How Adversaries Steal Active Directory Credentials Without a Trace

735After Incident
CRITICAL-21
PRO1785220104
DCSync Attack: How Adversaries Steal Active Directory Credentials Without a Trace Active Directory (AD) serves as the backbone of enterprise identity management, and its most sensitive asset the password hashes of every user, service, and machine account is a prime target for attackers. A DCSync attack allows adversaries to extract these hashes without ever logging into a domain controller (DC), executing code on it, or accessing the NTDS.dit database. Instead, attackers exploit AD’s built-in replication protocol, tricking a DC into handing over credentials under the guise of legitimate synchronization. ### How DCSync Works DCSync impersonates a domain controller and leverages the Microsoft Directory Replication Service Remote Protocol (MS-DRSR) to request credential data. The attack unfolds in four key steps: 1. RPC Bind – The attacker connects to the DRSUAPI interface (UUID `e3514235-4b06-11d1-ab04-00c04fc2dcd2`) on a target DC. 2. Replication Request – Using `IDL_DRSGetNCChanges`, the attacker requests the secret attributes of one or more accounts (e.g., `krbtgt`, Domain Admins, or all accounts). 3. Access Check – The DC verifies if the caller holds DS-Replication-Get-Changes(-All) rights. If granted, the request is treated as legitimate. 4. Secrets Returned – The DC responds with NTLM hashes, Kerberos keys, password history, and LM hashes (if present). Originally weaponized in Mimikatz by Benjamin Delpy and Vincent Le Toux, DCSync is now a staple in ransomware and nation-state attack playbooks, cataloged in MITRE ATT&CK as T1003.006 (OS Credential Dumping: DCSync). ### Why DCSync Is So Dangerous Unlike traditional credential theft methods such as dumping LSASS or stealing NTDS.dit DCSync operates entirely in memory and over the network, leaving no disk artifacts, process anomalies, or file-access alerts. Since it mimics legitimate replication traffic, it evades traditional endpoint detection, relying instead on directory-service auditing and network telemetry for detection. The impact is severe: - Golden Ticket Forgery – The `krbtgt` hash allows attackers to create self-minted Kerberos tickets, granting persistent, domain-wide access until the `krbtgt` key is rotated twice. - Pass-the-Hash & Lateral Movement – Stolen hashes enable NTLM-based authentication and Kerberos-based attacks without cracking passwords. - Offline Cracking – Weak NTLM hashes can be brute-forced, while legacy NTLMv1 may fall to rainbow tables. - Ransomware Deployment – Attackers use DCSync to stage domain-wide encryption via GPO or RDP. ### Prerequisites for a DCSync Attack DCSync is not an initial access technique attackers must first obtain an account with replication rights. Common paths include: - Privileged Group Membership – Compromising a Domain Admin, Enterprise Admin, or Administrator account via phishing, credential reuse, or LSASS dumping. - Abused ACLs – Exploiting misconfigured Get-Changes-All rights on service accounts (e.g., backup software, Entra Connect/Azure AD Sync). - AD CS Abuse – Exploiting vulnerable certificate templates (ESC1–ESC8) to obtain high-privilege certificates. - NTLM Relay & Coercion – Relaying authentication from a coerced DC or privileged host to escalate to replication rights. - Delegation & dMSA Abuse – Leveraging constrained/unconstrained delegation or Windows Server 2025 dMSA weaknesses. ### Tools Used in DCSync Attacks Attackers rely on a mix of open-source and commercial tools to execute DCSync: | Tool | Platform | Command Example | |---------------|-------------------|---------------------| | Mimikatz | Windows | `lsadump::dcsync /domain:corp.local /user:krbtgt` | | Impacket | Linux/Python | `secretsdump.py -just-dc corp.local/user:pass@DC_IP` | | DSInternals | PowerShell | `Get-ADReplAccount -All -Server dc01` | | PowerView | PowerShell | `Get-ObjectAcl -DistinguishedName "DC=corp,DC=local" -ResolveGUIDs` | | BloodHound | Graph Analysis | Identifies shortest path to GetChangesAll rights | ### Detection & Indicators of Compromise (IOCs) Since DCSync leaves no files on the DC, defenders must monitor: - Event ID 4662 – A high-confidence signal when paired with: - Access Mask 0x100 (Control Access) - Replication GUIDs (`1131f6aa-9c07-11d1-f79f-00c04fc2dcd2` or `1131f6ad-9c07-11d1-f79f-00c04fc2dcd2`) - Non-DC source account - Event ID 4624 – Correlates with 4662 to reveal the attacker’s IP and compromised account. - Network TelemetryDRSUAPI (DRSGetNCChanges) traffic from non-DC hosts. - AD Configuration ChangesEvent ID 5136 (ACL modifications granting replication rights). ### Prevention & Hardening Since AD requires replication, defenders must limit who can request it and detect abuse: #### Harden Replication Rights - Audit ACLs – Use BloodHound, PingCastle, or Purple Knight to identify accounts with Get-Changes-All rights. - Remove Unnecessary Rights – Strip Get-Changes-All from non-Tier 0 accounts (e.g., backup, sync, or legacy migration accounts). - Minimize Privileged Groups – Reduce Domain Admins, Enterprise Admins, and Administrators membership. - Enforce Tier 0 Model – Administer DCs only from Privileged Access Workstations (PAWs). - Remediate AD CS & Delegation Flaws – Patch ESC1–ESC8 misconfigurations and disable unconstrained delegation. #### Detect & Contain - Enable Directory Auditing – Turn on "Audit Directory Service Access" and alert on Event 4662 + replication GUIDs. - Deploy Identity Threat Detection – Use Microsoft Defender for Identity or DCSYNCMonitor for automated alerts. - Monitor Network Traffic – Block DRSUAPI/DRSGetNCChanges from non-DC IPs via NDR/IDS. - Segment DCs – Restrict replication to DC-to-DC only and isolate DCs from user networks. - Rotate krbtgt Twice – After a Domain Admin compromise, invalidate Golden Tickets by rotating the `krbtgt` key twice. - Hunt for Post-Exploitation – Reset exposed credentials and scan for Golden Ticket & Pass-the-Hash activity. ### MITRE ATT&CK Mapping | Tactic | Technique | ID | |--------------------------|----------------------------------------|----------------| | Credential Access | OS Credential Dumping: DCSync | T1003.006 | | Credential Access | OS Credential Dumping: NTDS | T1003.003 | | Persistence/Defense Evasion | Rogue Domain Controller (DCShadow) | T1207 | | Credential Access | Steal or Forge Kerberos Tickets: Golden Ticket | T1558.001 | | Lateral Movement | Use Alternate Authentication Material: Pass the Hash | T1550.002 | ### Conclusion DCSync transforms Active Directory’s replication protocol into a stealthy credential-theft mechanism, enabling attackers to compromise an entire domain with a single request. Since it bypasses traditional endpoint security, defenders must harden replication rights, enable directory auditing, and monitor network traffic to detect and mitigate this high-impact attack. A confirmed DCSync incident should be treated as a domain-wide compromise, requiring immediate krbtgt rotation and containment.
INCIDENT DETAILS -
TYPE
Credential Theft
IMPACT
Data Compromised: NTLM hashes, Kerberos keys, password history, LM hashes, personally identifiable information (PII)Systems Affected: Active Directory domain controllers, domain-wide authentication systemsOperational Impact: Domain-wide compromise, unauthorized access, lateral movement, ransomware deploymentIdentity Theft Risk: High (due to exposure of password hashes and Kerberos keys)
DATA BREACH
Type Of Data Compromised: Password hashes (NTLM, LM), Kerberos keys, password history, PIISensitivity Of Data: High (domain-wide credentials, authentication material)Personally Identifiable Information: Yes (if user accounts contain PII)
JUNE 2026
756Before Incident
MAY 2026
756Before Incident
APRIL 2026
756Before Incident
MARCH 2026
756Before Incident
FEBRUARY 2026
756Before Incident
JANUARY 2026
756Before Incident
DECEMBER 2025
756Before Incident
NOVEMBER 2025
756Before Incident
OCTOBER 2025
756Before Incident
SEPTEMBER 2025
756Before Incident

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