Individual provider Active NPI

Renee Frances Cullen, DPT

  • Physical Therapist
  • Laguna Niguel, CA
National Provider Identifier
1962947788
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292499 Issued in CA
Practice address
31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135
Phone
(949) 443-5442
Fax
(949) 446-5463
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 292499 CA Primary

Addresses

Primary practice location

31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135

Mailing address

PO Box 7840
Laguna Niguel, CA 92607-7840
Phone (949) 443-5442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123002230 CA Practitioner - Physical Therapist in Private Practice 5890077044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Clemente, CA 92672
Phone (909) 973-6153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292499CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Weinstein Physical Therapy Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Mobile Therapy Specialists Inc CurrentSince Aug 3, 2023 Accepting new patients
Kineticx Physical Therapy & Performance P C Physical Therapist CurrentSince May 15, 2025 Accepting new patients
Kineticx Physical Therapy & Performance CurrentSince May 15, 2025 Accepting new patients

Locations

31271 Niguel Rd
Ste J
Laguna Niguel, CA 92677
Phone (949) 370-4061

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1962947788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7840",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077840",
            "telephone_number": "949-443-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31271 NIGUEL RD STE J",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774135",
            "telephone_number": "949-443-5442",
            "fax_number": "949-446-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "RENEE",
        "middle_name": "FRANCES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.