Individual provider Active NPI

Karyn Danette Wood, REGISTERED PHYSICAL

  • Physical Therapist
  • Citrus Heights, CA
National Provider Identifier
1184702342
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11282 Issued in CA
Practice address
6560 Greenback Lane
#100
Citrus Heights, CA 95621
Phone
(916) 723-3372
Fax
(916) 722-5098
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11282 CA Primary

Addresses

Primary practice location

6560 Greenback Lane
#100
Citrus Heights, CA 95621

Mailing address

907 Embarcadero Dr # B
El Dorado Hills, CA 95762-4087
Phone (916) 933-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000601 CA Practitioner - Physical Therapist in Private Practice 5294893046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Dorado Physical Therapy IncGroup PAC ID 8325181480, 18 clinicians

Practice addresses (Care Compare)

907 Embarcadero Dr
El Dorado Hills, CA 95762-4087
Phone (209) 576-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fitzpatrick Physical Therapy Inc. Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
El Dorado Physical Therapy, Inc Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Cameron Park Physical Therapy Center, Inc. Physical Therapist PastSince Sep 2, 2001 Accepting new patients

Locations

907 Embarcadero Dr
#B
El Dorado Hills, CA 95762

907 Embarcadero Dr
El Dorado Hills, CA 95762
Phone (916) 355-1250

8135 Saratoga Way
Ste 200
El Dorado Hills, CA 95762
Phone (916) 933-1090

990 Riley St
Folsom, CA 95630
Phone (916) 335-1250

12150 Industry Blvd
Ste 42
Jackson, CA 95642
Phone (209) 223-9410

1252 Broadway
Ste B
Placerville, CA 95667
Phone (530) 622-9410

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1184702342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EMBARCADERO DR # B",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624087",
            "telephone_number": "916-933-1221",
            "fax_number": "916-966-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 GREENBACK LANE",
            "address_2": "#100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95621",
            "telephone_number": "916-723-3372",
            "fax_number": "916-722-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KARYN",
        "middle_name": "DANETTE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED PHYSICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "11282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.