Active NPI
Michelle Farley
- Physical Therapist
- Fullerton, CA
National Provider Identifier
1609207000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40830
- Practice address
- 2634 Associated Rd Apt A102
Fullerton, CA 92835-3209 - Phone
- (805) 766-1855
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40830 | CA | Primary |
Addresses
Primary practice location
2634 Associated Rd Apt A102
Fullerton, CA 92835-3209
Mailing address
2634 Associated Rd Apt A102
Fullerton, CA 92835-3209
Phone (805) 766-1855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669686630 | Other | CA | THE CHILDREN'S THERAPY CENTER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40830 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1609207000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2634 ASSOCIATED RD APT A102",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353209",
"telephone_number": "805-766-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2634 ASSOCIATED RD APT A102",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353209",
"telephone_number": "805-766-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE CHILDREN'S THERAPY CENTER",
"identifier": "1669686630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.