Individual provider Active NPI

Kristopher Lino Farinha, DPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1053016113
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT302922 Issued in CA
Practice address
1400 N Dutton Ave
Santa Rosa, CA 95401-4657
Phone
(707) 523-2848
NPI assigned
Mar 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 PT302922 CA Primary

Addresses

Primary practice location

1400 N Dutton Ave
Santa Rosa, CA 95401-4657

Mailing address

417 W Sierra Ave
Cotati, CA 94931-4287
Phone (707) 494-8860

Other practice location 1

7840 Old Redwood Hwy
Cotati, CA 94931-5106
Phone (707) 795-1636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT302922CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cotati Rohnert Park Physical Therapy Physical Therapist PastSince Dec 28, 2011 Accepting new patients

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1053016113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W SIERRA AVE",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949314287",
            "telephone_number": "707-494-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014657",
            "telephone_number": "707-523-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 Old Redwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Cotati",
            "state": "CA",
            "postal_code": "949315106",
            "country_code": "US",
            "telephone_number": "707-795-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARINHA",
        "first_name": "KRISTOPHER",
        "middle_name": "LINO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.