Individual provider Active NPI

Carrie Elizabeth Fraley, PT

  • Physical Therapist
  • Ashland, KY
National Provider Identifier
1255418778
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 09814 Issued in OH
Practice address
2700 Greenup Ave
Ashland, KY 41101-1953
Phone
(800) 609-0905
Fax
(800) 609-0801
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 004181 KY
Physical Therapist 225100000X PT 09814 OH Primary

Addresses

Primary practice location

2700 Greenup Ave
Ashland, KY 41101-1953

Mailing address

711 S 3Rd St
Ironton, OH 45638-1854
Phone (740) 534-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 004181KYMDPhysical Therapist
PT 09814OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapy & Health Centers, Inc. Physical Therapist Past Accepting new patients
Premier Therapy & Health Centers, Inc. Physical Therapist Past Accepting new patients
Premier Therapy & Health Centers, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1255418778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381854",
            "telephone_number": "740-534-1156",
            "fax_number": "740-534-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011953",
            "telephone_number": "800-609-0905",
            "fax_number": "800-609-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT 004181",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 09814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.