Elite Athletic Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1175083 Issued in TX

Legal business name

ELITE ATHLETIC THERAPY, PLLC

Practice address

4201 Bee Caves Rd # 106
West Lake Hills, TX 78746-6465

Phone

(303) 817-2290

Fax

(888) 854-2849

NPI assigned

Mar 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cullen Michael Nigrini, PTNPI 1427269570

Title

Owner

Phone

(512) 609-0771

Specialties & licenses 2

Addresses

Other names 1

• Austin Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cullen Michael Nigrini, PT

  • Physical Therapist
  • Austin, TX
  • NPI 1427269570
  Medicare reassignment Care Compare group NPD Authorized official
• Bennett James Rack

  • Physical Therapist
  • West Lake Hills, TX
  • NPI 1982433488
  Medicare reassignment Care Compare group NPD
• Bailey Williams, PT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bee Cave, TX
  • NPI 1902555444

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Marcus Cantu, PT, DPT

  • Physical Therapist
  • Vestavia, AL
  • NPI 1932476314

  TX

  Medicare reassignment Care Compare group NPD
• John Patrick Dowling, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1225758436
  Medicare reassignment NPD
• Matthew William Mainelli, PT, DPT

  • Physical Therapist
  • West Lake Hills, TX
  • NPI 1477280634
  Medicare reassignment NPD
• Jose Luis Diaz III, DPT

  • Orthopedic Physical Therapist
  • West Lake Hills, TX
  • NPI 1346169364
  NPD (past)

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1306207915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD # 106",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "303-817-2290",
            "fax_number": "888-854-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BEE CAVES RD # 106",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466465",
            "telephone_number": "303-817-2290",
            "fax_number": "888-854-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Beecave Woods Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466752",
            "country_code": "US",
            "telephone_number": "512-609-0771",
            "fax_number": "888-854-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 S Capital Of Texas Hwy",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787467742",
            "country_code": "US",
            "telephone_number": "512-609-0771",
            "fax_number": "888-854-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Bee Caves Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787466771",
            "country_code": "US",
            "telephone_number": "512-609-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13875 Bee Cave Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bee Cave",
            "state": "TX",
            "postal_code": "787386757",
            "country_code": "US",
            "telephone_number": "512-609-0771",
            "fax_number": "888-854-2849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE ATHLETIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "NIGRINI",
        "authorized_official_first_name": "CULLEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-609-0771",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1175083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Durrant, PHARMD
• Eanes Isd
• Anne Earp, PT, DPT
• Ashleigh Edelstein
• Elaine Hamilton, MD, PA
• Elizabeth Reidy MD Pediatrics PA
• Elizabeth Truong, M.D., P.a.
• Anakaren De Jesus Elizondo Carranza
• Kirsten Elliott, AU.D.
• Stephanie Lynn Elliott, OTR

• Physical Therapy Clinic/Center in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.