Active NPI
Katharine Elizabeth Fraley, P.T.
- Pediatric Physical Therapist
- Cheyenne, WY
National Provider Identifier
1609202811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 0580
- Practice address
- 5801 Yellowstone Rd
Cheyenne, WY 82009-4174 - Phone
- (307) 638-6100
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 0580 | WY | Primary |
Addresses
Primary practice location
5801 Yellowstone Rd
Cheyenne, WY 82009-4174
Mailing address
1322 Dorothy LN
Cheyenne, WY 82009-1869
Phone (307) 632-4368
Other names 1
- Katharine Elizabeth Ward
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0580 | WY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stride Learning Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Cheyenne, WY
- NPI 1811030554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1609202811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 DOROTHY LN",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820091869",
"telephone_number": "307-632-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 YELLOWSTONE RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094174",
"telephone_number": "307-638-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRALEY",
"first_name": "KATHARINE",
"middle_name": "ELIZABETH",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WY",
"license": "0580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHARINE",
"last_name": "WARD",
"middle_name": "ELIZABETH",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.