Individual provider Active NPI

Courtney Farrar, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1124577952
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292062 Issued in CA
Practice address
7525 Metropolitan Dr
Suite 302
San Diego, CA 92108-4411
Phone
(619) 325-1161
Fax
(619) 325-1717
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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 292062 CA Primary

Addresses

Primary practice location

7525 Metropolitan Dr
Suite 302
San Diego, CA 92108-4411

Mailing address

7525 Metropolitan Dr
Suite 302
San Diego, CA 92108-4411
Phone (619) 325-1161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208002181 CA Practitioner - Physical Therapist in Private Practice 0042590036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livara Health Medical Group PCGroup PAC ID 8022238872, 23 clinicians

Practice addresses (Care Compare)

7525 Metropolitan Dr
Suite 306
San Diego, CA 92108-4404
Phone (844) 316-7979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292062CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Physical Therapist Current Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist CurrentSince Oct 19, 2016 Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist CurrentSince Oct 19, 2016 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
Livara Health Medical Group PC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Spinezone Medical Fitness, Inc. Physical Therapist Past Accepting new patients
Livara Health Medical Group NJ, PC Physical Therapist Past Accepting new patients
Algos Inc., a Medical Corporation Physical Therapist Past Accepting new patients

Locations

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

12865 Pointe del Mar Way
Ste 190
Del Mar, CA 92014
Phone (619) 432-4634

1127 Wilshire Blvd
Ste 800
Los Angeles, CA 90017
Phone (213) 241-7250

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

18040 Sherman Way
Ste 200
Reseda, CA 91335
Phone (818) 212-2223

7525 Metropolitan Dr
Ste 306
San Diego, CA 92108
Phone (619) 275-7460

7525 Metropolitan Dr
Ste 302
San Diego, CA 92108
Phone (619) 325-1161

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1124577952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR",
            "address_2": "SUITE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084411",
            "telephone_number": "619-325-1161",
            "fax_number": "619-325-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 METROPOLITAN DR",
            "address_2": "SUITE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084411",
            "telephone_number": "619-325-1161",
            "fax_number": "619-325-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "COURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.