NPIMap

Organization Active NPI

Austin Integrative Medical Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1285035972
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
AUSTIN INTEGRATIVE MEDICAL GROUP PLLC
Practice address
4316 James Casey St
BLDG B Ste 210
Austin, TX 78745-1116
Phone
(512) 442-2727
Fax
(512) 442-2728
NPI assigned
Sep 12, 2014
Last updated
Oct 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Jeffrey W Fluitt, DCNPI 1194721829
Title
Owner
Phone
(512) 442-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4316 James Casey St
BLDG B Ste 210
Austin, TX 78745-1116

Mailing address

PO Box 5898
Austin, TX 78763-5898
Phone (512) 442-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141210000976 TX Part B Supplier - Clinic/Group Practice 1850613431 Receives reassigned benefits from 14 practitioners
Practice locations: Austin, TX
O20150203000246 TX DME Supplier - Physician - Physical and Rehabilitation 1850613431 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

4316 James Casey St
Bldg B
Austin, TX 78745
Phone (512) 442-2727

6836 Bee Caves Rd
Ste 200
Austin, TX 78746
Phone (512) 442-2727

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1285035972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5898",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787635898",
            "telephone_number": "512-442-2727",
            "fax_number": "512-442-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLDG B STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-442-2727",
            "fax_number": "512-442-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN INTEGRATIVE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "FLUITT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-442-2727",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.