Active NPI
Kayla Nicole Fraire, DPT
- Physical Therapist
- Griffin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017281
- Practice address
- 680 S 9TH St Ste a
Griffin, GA 30224-4216 - Phone
- (770) 229-6141
- Fax
- (770) 229-6142
- NPI assigned
- Aug 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017281 | GA | Primary |
Addresses
Primary practice location
680 S 9TH St Ste a
Griffin, GA 30224-4216
Mailing address
680 S 9TH St Ste a
Griffin, GA 30224-4216
Phone (770) 229-6141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 S 9TH St
Suite a
Griffin, GA 30224-4216
Phone (334) 799-5853
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017281 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayetteville Rehab Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Barnesville Rehab Solutions | Physical Therapist | Current | Accepting new patients |
| Griffin Rehab Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| Meriwether Rehab Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Cusseta Rehab Solutions, LLC | Physical Therapist | Current | Accepting new patients |
Locations
231 Highway 41 N
Ste E
Barnesville, GA 30204
Phone (770) 872-2060
535 Glynn St S
Ste 2008
Fayetteville, GA 30214
Phone (770) 703-3143
680 S 9th St
#A
Griffin, GA 30224
Phone (334) 799-5853
990 Bear Creek Blvd
Ste E
Hampton, GA 30228
Phone (678) 814-4000
1140 Warm Springs Hwy
Ste 1150
Manchester, GA 31816
Phone (706) 441-0099
6516 Kitten Lake Dr
Ste E7
Midland, GA 31820
Phone (706) 221-3031
103 E Gordon St
Thomaston, GA 30286
Phone (706) 938-0378
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 Therapy Clinic/Center
- Griffin, GA
- NPI 1821567850
Physical Therapist
-
- Physical Therapist
- Barnesville, GA
- NPI 1922527324
-
- Physical Therapist
- Cusseta, GA
- NPI 1033843420
-
- Physical Therapist
- Fayetteville, GA
- NPI 1700479607
-
- Physical Therapist
- Manchester, GA
- NPI 1942871595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1487486676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 9TH ST STE A",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244216",
"telephone_number": "770-229-6141",
"fax_number": "770-229-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 S 9TH ST STE A",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244216",
"telephone_number": "770-229-6141",
"fax_number": "770-229-6142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAIRE",
"first_name": "KAYLA",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.