Individual provider Active NPI

Risa Macdonald, PT, DPT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1326196866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9259 Issued in CA
Practice address
5260 Elvas Ave
Sacramento, CA 95819-2332
Phone
(916) 457-8801
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT9259 CA Primary

Addresses

Primary practice location

5260 Elvas Ave
Sacramento, CA 95819-2332

Mailing address

2158 Humphries CT
Gold River, CA 95670-8315
Phone (916) 457-8802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071012000738 CA Practitioner - Physical Therapist in Private Practice 2062506280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
East Sacramento Physical Therapy IncGroup PAC ID 0345334561, 6 clinicians

Practice addresses (Care Compare)

3400 Elvas Ave
Sacramento, CA 95819-1913
Phone (916) 457-8802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9259CAMDAcupuncturist
PT9259CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Sacramento Physical Therapy, Inc Physical Therapist CurrentSince Apr 1, 2007 Accepting new patients

Locations

5260 Elvas Ave
Sacramento, CA 95819
Phone (916) 457-8801

3400 Elvas Ave
Sacramento, CA 95819
Phone (916) 457-8802

5290 Elvas Ave
Ste A
Sacramento, CA 95819
Phone (916) 457-8801

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326196866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 HUMPHRIES CT",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956708315",
            "telephone_number": "916-457-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192332",
            "telephone_number": "916-457-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "RISA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.