Active NPI
Christopher Daniel Farrell, PT
- Physical Therapist
- La Quinta, CA
National Provider Identifier
1619952488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20925
- Practice address
- 79-440 Corporate Center Dr
#112
La Quinta, CA 92253 - Phone
- (760) 777-9701
- Fax
- (760) 777-9727
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 | PT20925 | CA | Primary |
Addresses
Primary practice location
79-440 Corporate Center Dr
#112
La Quinta, CA 92253
Mailing address
5962 La Place CT
Ste 170
Carlsbad, CA 92008
Phone (800) 929-4776
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 |
|---|---|---|---|
| PT20925 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619952488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5962 LA PLACE CT",
"address_2": "STE 170",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "92008",
"telephone_number": "800-929-4776",
"fax_number": "760-931-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-440 CORPORATE CENTER DR",
"address_2": "#112",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "92253",
"telephone_number": "760-777-9701",
"fax_number": "760-777-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CHRISTOPHER",
"middle_name": "DANIEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.