Austin Integrative Medical Group PLLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Austin, TX
NPI 1285035972 · NPPES record last updated Oct 11, 2018
Key facts
- NPI
- 1285035972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 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
- Organization subpart
- No
Authorized official
- Name
- Jeffrey W Fluitt, DC
- Title
- Owner
- Phone
- (512) 442-2727
Practitioners 16
-
Jeffrey W Fluitt, DC
-
Sarah Jarvis Rachel, D. C.
-
Martin V Thai, MD
-
Kristin Jarrett, MPT
-
Jorden Leigh Eutsey, PA-C
-
Nicole Allison Griffis, APRN-BC
-
Kayla McElhany, NP
-
Christina Veras, DPT
-
Payton Spell Busker, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
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
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All providers in Austin, TX · Physical Medicine & Rehabilitation Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.