Healthcare Provider Details

I. General information

NPI: 1427269570
Provider Name (Legal Business Name): CULLEN MICHAEL NIGRINI PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 01/22/2022
Certification Date: 01/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 S CAPITAL OF TEXAS HWY
AUSTIN TX
78746-7742
US

IV. Provider business mailing address

4300 FARHILLS DR
AUSTIN TX
78731-2816
US

V. Phone/Fax

Practice location:
  • Phone: 512-609-0771
  • Fax: 888-854-2849
Mailing address:
  • Phone: 303-817-2290
  • Fax: 888-854-2849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number1175083
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1175083
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT2662
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1175083
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: