Active NPI
Brandon Scott Fraleigh, DPT
- Physical Therapist
- Eau Claire, WI
National Provider Identifier
1407400138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14607-24
- Practice address
- 2116 Craig Road
Eau Claire, WI 54701-6149 - Phone
- (715) 858-4600
- NPI assigned
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14607-24 | WI | Primary |
Addresses
Primary practice location
2116 Craig Road
Eau Claire, WI 54701-6149
Mailing address
3915 Waterbury CT
New Berlin, WI 53151-6102
Phone (262) 352-8516
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14607-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1407400138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 WATERBURY CT",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531516102",
"telephone_number": "262-352-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 CRAIG ROAD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016149",
"telephone_number": "715-858-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRALEIGH",
"first_name": "BRANDON",
"middle_name": "SCOTT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14607-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.