Individual provider Active NPI

Christopher O'Connell

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1710606009
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302492
Practice address
3633 Vista Way Ste 101
Oceanside, CA 92056-4568
Phone
(760) 729-7298
Fax
(760) 729-7206
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 302492 Primary

Addresses

Primary practice location

3633 Vista Way Ste 101
Oceanside, CA 92056-4568

Mailing address

3633 Vista Way
Oceanside, CA 92056-4568
Phone (760) 729-7298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907003394 CA Practitioner - Physical Therapist in Private Practice 8325422512 Reassigns benefits to 2 organizations

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
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

10725 Zelzah Ave
Suite B
Granada Hills, CA 91344-4431
Phone (818) 832-8383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Inc Physical Therapist CurrentSince Nov 22, 2024 Accepting new patients
North Coast Physical Therapy Inc Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Nov 22, 2024 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

2704 Gateway Rd
Carlsbad, CA 92009
Phone (760) 729-7298

10725 Zelzah Ave
#B
Granada Hills, CA 91344
Phone (818) 400-0304

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

3633 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 729-7298

450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

1030 La Bonita Dr
Ste 240
San Marcos, CA 92078
Phone (760) 304-4608

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1710606009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564568",
            "telephone_number": "760-729-7298",
            "fax_number": "760-729-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 VISTA WAY STE 101",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564568",
            "telephone_number": "760-729-7298",
            "fax_number": "760-729-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "302492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.