Individual provider Active NPI

Kristen Elaine Fraley, PT, DPT

  • Physical Therapist
  • Acworth, GA
National Provider Identifier
1972045730
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012857 Issued in GA
Practice address
3450 Cobb Pkwy NW
Ste 220
Acworth, GA 30101-8351
Phone
(770) 974-1978
Fax
(770) 974-1979
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012857 GA Primary

Addresses

Primary practice location

3450 Cobb Pkwy NW
Ste 220
Acworth, GA 30101-8351

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170623001985 GA Practitioner - Physical Therapist in Private Practice 4981972403 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Rehabilitation LLC CurrentSince May 1, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 2, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 25, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 25, 2017 Accepting new patients
Inclusive Rehabilitation LLC CurrentSince May 1, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 2, 2021 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Horizons Therapy Group, Inc. Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3450 Cobb Pkwy NW
Ste 220
Acworth, GA 30101
Phone (770) 974-1978

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1972045730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 COBB PKWY NW",
            "address_2": "STE 220",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018351",
            "telephone_number": "770-974-1978",
            "fax_number": "770-974-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "KRISTEN",
        "middle_name": "ELAINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.