Active NPI
Mavis Fraley, PT
- Physical Therapist
- Abingdon, VA
National Provider Identifier
1194891440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3463
- Practice address
- 26106 Lee Hwy
Abingdon, VA 24211-7502 - Phone
- (276) 623-0274
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP054793T | VA | |
| Physical Therapist | 225100000X | 3463 | TN | Primary |
Addresses
Primary practice location
26106 Lee Hwy
Abingdon, VA 24211-7502
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-4143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26106 Lee Hwy
Abingdon, VA 24211-7502
Phone (276) 623-0274
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP054793T | VA | MD | Physical Therapist |
| 3463 | TN | MD | Speech-Language Pathologist |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Charlottesville, VA
- NPI 1649742016
-
- Physical Therapist
- Harrisonburg, VA
- NPI 1831514637
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1194891440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26106 LEE HWY",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117502",
"telephone_number": "276-623-0274"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-844-4143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRALEY",
"first_name": "MAVIS",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "CP054793T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "3463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.