MRS. AUDREY LYNN FLUITT (NPI# 1295940203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295940203 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY LYNN FLUITT |
| Credential | P.T. |
| Practice Address |
5300 N Independence Ave Ste 100 Oklahoma City OK 73112-5556 |
| Mailing Address |
Rr 3 Box 423a Wellston OK 74881-9459 |
| Practice Telephone | 4059454500 |
| Mailing Telephone | 4052580788 |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
3114 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5300 N INDEPENDENCE AVE STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-5556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750333936 | Integris Ambulatory Care Corporation | Internal Medicine | 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 | 2006-05-16 |
| 1114461100 | Tara Turvey | Occupational Therapist | 5300 N Independence Ave, Oklahoma City, OK 73112-5556 | 2016-12-08 |
| 1124487673 | Jennifer Waldron | Nurse Practitioner | 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 | 2016-02-12 |
| 1063897072 | Elizabeth Dolan | Physical Therapist | 5300 N Independence Ave, Suite 100, Oklahoma City, OK 73112-5556 | 2015-07-21 |
| 1063685055 | Liana Marie Dewberry | Occupational Therapist | 5300 N Independence Ave, Ste 120, Oklahoma City, OK 73112-5556 | 2008-04-10 |
| 1508039504 | Susan Michelle Kirby | Physical Therapist | 5300 N Independence Ave, Ste 120, Oklahoma City, OK 73112-5556 | 2008-04-10 |
| 1053582387 | Terry Tatarian | Physical Therapist | 5300 N Independence Ave, Suite #100, Oklahoma City, OK 73112-5556 | 2008-03-14 |
| 1003087578 | Shanun Micaela Atkins | Speech-Language Pathologist | 5300 N Independence Ave, Suite 100, Oklahoma City, OK 73112-5556 | 2008-03-12 |
| 1891974580 | Kara Janelle Mcdaniel | Specialist | 5300 N Independence Ave, Oklahoma City, OK 73112-5556 | 2007-10-30 |
| 1699978726 | Christa Anne Newgent | Physical Therapist | 5300 N Independence Ave, Oklahoma City, OK 73112-5556 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871878868 | Beverly K. Fentress | Physical Therapist | 6112 Winchester Dr, Oklahoma City, OK 73162-1719 | 2011-10-21 |
| 1487972469 | Mary B Pickett | Physical Therapist | 11309 Shady Glen Rd, Oklahoma City, OK 73162-3435 | 2010-05-14 |
| 1578772414 | Barbara Lynn Fogarty Peters | Physical Therapist | 9031 Sw 29th St, Oklahoma City, OK 73179-2818 | 2007-05-21 |
| 1972645836 | Joanne R Walkup | Physical Therapist | 1024 Nw 47th St, Oklahoma City, OK 73118-6400 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630793 | Achieve Pediatric Physical Therapy | Physical Therapist | 2265 S Saint Louis Ave, Tulsa, OK 74114-1347 | 2020-08-17 |
| 1962029967 | Pediatric Physical Therapy of Bartlesville | Physical Therapist | 548 Se Washington Blvd, Bartlesville, OK 74006-8231 | 2020-06-25 |
| 1033754882 | Heather Williams | Physical Therapist | 117 W 5th St Ste 1, Bartlesville, OK 74003-6651 | 2019-11-14 |
| 1699179077 | Elizabeth Smith | Physical Therapist | 7686 Stone Valley Cir, Edmond, OK 73034-9564 | 2014-10-14 |
| 1154732915 | Kerry Mcclure, LLC | Physical Therapist | 2300 N Broadway St, Poteau, OK 74953-2009 | 2014-05-14 |
| 1427301852 | Guymon Public Schools | Physical Therapist | 801 N Beaver St, Guymon, OK 73942-3722 | 2012-10-23 |
| 1730373556 | Amanda Scott Caperton | Physical Therapist | 5505 E 107th St, Tulsa, OK 74137-7291 | 2007-09-05 |
| 1750589081 | Shanna Rae Gray | Physical Therapist | 4010 Blaine Rd, Shawnee, OK 74804-1626 | 2007-07-09 |
| 1598962748 | Carla Dee Garling | Physical Therapist | 6295 E Robinson St, Norman, OK 73026-3523 | 2007-06-29 |
| 1154538445 | Gary R Robinson | Physical Therapist | One Murray Campus, Nah #108, Tishomingo, OK 73460-0391 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.