Provider Demographics
NPI:1427269570
Name:NIGRINI, CULLEN MICHAEL (PT)
Entity type:Individual
Prefix:
First Name:CULLEN
Middle Name:MICHAEL
Last Name:NIGRINI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:4300 FARHILLS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2816
Mailing Address - Country:US
Mailing Address - Phone:303-817-2290
Mailing Address - Fax:888-854-2849
Practice Address - Street 1:2501 S CAPITAL OF TEXAS HWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7742
Practice Address - Country:US
Practice Address - Phone:512-609-0771
Practice Address - Fax:888-854-2849
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX11750832251S0007X, 2251X0800X, 225100000X
TXAT26622255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer