Individual provider Active NPI

Christian Villanueva, PT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1548039985
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41112 Issued in FL
Practice address
17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282
Phone
(949) 861-8600
NPI assigned
Dec 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41112 FL Primary
Orthopedic Physical Therapist 2251X0800X 308937 CA

Addresses

Primary practice location

17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282

Mailing address

17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282
Phone (949) 861-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251123000083 CA Practitioner - Physical Therapist in Private Practice 1759733496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impt IncGroup PAC ID 9335112762, 20 clinicians

Practice addresses (Care Compare)

17332 Von Karman Ave
Suite 120
Irvine, CA 92614-6282
Phone (949) 861-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41112FLMDPhysical Therapist
308937CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impt, Inc. Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

10540 Talbert Ave
Ste 110
Fountain Valley, CA 92708
Phone (714) 874-8335

17332 Von Karman Ave
Ste 120
Irvine, CA 92614
Phone (949) 861-8600

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1548039985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146282",
            "telephone_number": "949-861-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146282",
            "telephone_number": "949-861-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "CHRISTIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41112",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "308937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.