Anu Durga Annpoorna Pidikiti, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30346 Issued in CA

Practice address

8254 Trevi Way
El Dorado Hills, CA 95762-4182

Phone

(916) 906-4103

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agewell Physical Therapy Inc

  • Physical Therapist
  • El Dorado Hills, CA
  • NPI 1548139108
  Medicare reassignment NPD Authorized official
• Agewell Physical Therapy

  • Physical Therapist
  • El Dorado Hills, CA
  • NPI 1407726458
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1003029612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 TREVI WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624182",
            "telephone_number": "916-906-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 TREVI WAY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624182",
            "telephone_number": "916-906-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDIKITI",
        "first_name": "ANU DURGA",
        "middle_name": "ANNPOORNA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Phillips
• Lisa Phillips, L.AC
• Steven Picazo-Herrera
• David Miles Pickens, PSYD
• Wendy Pickren, MS, OTR/L
• Alicia Pierce, LMFT
• Spencer Pihl
• Lisa Pinski, PHARM. D.
• Myra Piper
• Michael Plachy, PT

• Physical Therapist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.