Individual provider Active NPI

Marissa Allgood, DPT

  • Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1831825496
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302399 Issued in CA
Practice address
907 Embarcadero Dr
El Dorado Hills, CA 95762-4087
Phone
(919) 239-7751
NPI assigned
Jul 26, 2022
Last updated
Mar 12, 2024By the provider in NPPES
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 302399 CA Primary

Addresses

Primary practice location

907 Embarcadero Dr
El Dorado Hills, CA 95762-4087

Mailing address

1550 Iron Point Rd Apt 123
Folsom, CA 95630-7804
Phone (252) 671-1979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906001296 CA Practitioner - Physical Therapist in Private Practice 6002290376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Water and Sports Physical Therapy IncGroup PAC ID 2365433232, 22 clinicians

Practice addresses (Care Compare)

501 W Broadway
San Diego, CA 92101-3536
Phone (858) 488-3597

801 Via Suerte
Suite 103
San Clemente, CA 92673-6527
Phone (949) 485-5567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302399CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Physical Therapy, Inc Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Water and Sports Physical Therapy, Inc Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients

Locations

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

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

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

120 C Ave
Ste 110
San Diego, CA 92118
Phone (858) 225-7222

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1831825496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 IRON POINT RD APT 123",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307804",
            "telephone_number": "252-671-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EMBARCADERO DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624087",
            "telephone_number": "919-239-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "MARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302399",
            "primary": true
        }
    ],
    "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 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.