Centex Spine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8815 Issued in TX

Legal business name

CENTEX SPINE, LLC

Doing business as

Austin Preferred Spine and Sports Rehab

Practice address

4316 James Casey St
BLDG B, Suite 201
Austin, TX 78745-1116

Phone

(512) 442-2727

Fax

(512) 442-2728

NPI assigned

Aug 2, 2011

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Fluitt, D.C.NPI 1194721829

Title

Owner

Phone

(512) 442-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Austin Preferred Spine and Sports Rehab Doing business as

Locations

Practitioners 3

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.

• Jeffrey W Fluitt, DC

  • Chiropractor
  • Austin, TX
  • NPI 1194721829
  Authorized official Same address or phone
• Phillip Lawrence Davis, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1073703203
  NPD (past)
• Ashley Chaney, P.T.

  • Physical Therapist
  • Chesapeake, VA
  • NPI 1740424191
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1447538806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5927",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787635927",
            "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, SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "512-442-2727",
            "fax_number": "512-442-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTEX SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "FLUITT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-442-2727",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER RECORD ID",
            "identifier": "0052WV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Preferred Spine and Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.