Malcolm Fraser, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070008407 Issued in IL

Practice address

3430 Grand Ave
Suite 400
Gurnee, IL 60031-3741

Phone

(847) 782-9860

Fax

(847) 782-9866

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fit for Life Rehab and Fitness Clinic, Inc.

  • Physical Therapy Clinic/Center
  • Lake Bluff, IL
  • NPI 1417179979

  Physical Therapist

  NPD (past)
• Premier Physical Therapy PC

  • Physical Therapist
  • Evergreen Park, IL
  • NPI 1336127117
  NPD (past)
• Vital Points Therapy

  • Acupuncturist
  • Libertyville, IL
  • NPI 1518989573
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1851490148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WACKER DR",
            "address_2": "SUITE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061216",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 GRAND AVE",
            "address_2": "SUITE 400",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313741",
            "telephone_number": "847-782-9860",
            "fax_number": "847-782-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "MALCOLM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundation Health Partners
• Daniel L. Foust, MA, LCPC, CADC
• Judith Fradin, LCSW
• Frank C Sun MD PC
• Gerald Allen Frank, MD
• Mark E Fredrick, DC
• Sarah Rose French-Villarreal
• Fresenius Medical Care Lake County, LLC
• Walter I Fried, PH.D., M.D.
• Lisa Lois Fuechtmann, LCPC

• Physical Therapist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.