Provider Demographics
NPI:1275058307
Name:NIRAPPIL, SHIJO (DPT)
Entity Type:Individual
Prefix:DR
First Name:SHIJO
Middle Name:
Last Name:NIRAPPIL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4222 HARBOURVIEW CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2325
Mailing Address - Country:US
Mailing Address - Phone:281-236-2264
Mailing Address - Fax:
Practice Address - Street 1:4610 SWEETWATER BLVD STE 120
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3151
Practice Address - Country:US
Practice Address - Phone:281-242-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1293917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist