Katelyn Fraker, DPT
Individual provider Active NPI Physical Therapist · Fairview, TN
NPI 1508747478 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1508747478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16650 (TN)
- Practice address
- 7030 City Center Way
Fairview, TN 37062-6004 - Phone
- (615) 799-1915
- Fax
- (615) 799-5928
- NPI assigned
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16650 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Physical Therapy LP | Past |
Accepting new patients | |
| Star Physical Therapy LP | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16650 | TN | Yes |
Addresses
Primary practice location
7030 City Center Way
Fairview, TN 37062-6004
Mailing address
PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
Other providers in Fairview, TN
- Savita Leanne Fanta
- Fast Pace Medical Clinic PLLC
- Hunter Chase Fleenor
- Alexander B Ford
- Sarah Brooks Fox
- Tina Franco
- Freds Stores of Tennessee Inc
- Freds Stores of Tennessee Inc
- Maritza Garcia-Williams
- Christine Golla
All providers in Fairview, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.