Active NPI
Agewell Physical Therapy
- Physical Therapist
- El Dorado Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- AGEWELL PHYSICAL THERAPY
- Practice address
- 4818 Golden Foothill Pkwy Unit 1
El Dorado Hills, CA 95762-9825 - Phone
- (916) 906-4103
- NPI assigned
- Nov 6, 2025
- Last updated
- Nov 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anu Durga Annpoorna Pidikiti
- Title
- Ceo
- Phone
- (916) 906-4103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
4818 Golden Foothill Pkwy Unit 1
El Dorado Hills, CA 95762-9825
Mailing address
4818 Golden Foothill Pkwy Unit 1
El Dorado Hills, CA 95762-9825
Phone (916) 906-4103
National Provider Directory
National Provider Directory- Tax ID family
- Agewell Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- El Dorado Hills, CA
- NPI 1548139108
Locations
4818 Golden Foothill Pkwy
Unit 1
El Dorado Hills, CA 95762
Phone (916) 906-4103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- El Dorado Hills, CA
- NPI 1003029612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1407726458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4818 GOLDEN FOOTHILL PKWY UNIT 1",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629825",
"telephone_number": "916-906-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 GOLDEN FOOTHILL PKWY UNIT 1",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629825",
"telephone_number": "916-906-4103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGEWELL PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "PIDIKITI",
"authorized_official_first_name": "ANU DURGA",
"authorized_official_middle_name": "ANNPOORNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-906-4103"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.