Active NPI
Christianna Farrell, MSPT, DPT
- Physical Therapy Clinic/Center
- Wilmington, DE
National Provider Identifier
1609333780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- J1-0004054
- Practice address
- 800 Carr Rd
Wilmington, DE 19809-2163 - Phone
- (732) 674-5817
- NPI assigned
- Feb 26, 2019
- 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 Therapy Clinic/Center | 261QP2000X | J1-0004054 | DE | Primary |
Addresses
Primary practice location
800 Carr Rd
Wilmington, DE 19809-2163
Mailing address
14 Marino Dr
Clarksboro, NJ 08020-1321
Phone (732) 674-5817
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0004054 | DE | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1609333780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MARINO DR",
"city": "CLARKSBORO",
"state": "NJ",
"postal_code": "080201321",
"telephone_number": "732-674-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CARR RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198092163",
"telephone_number": "732-674-5817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CHRISTIANNA",
"credential": "MSPT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "DE",
"license": "J1-0004054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.