| Kristen Elaine Fraley, PT, DPT | |
|
3450 Cobb Pkwy Nw, Ste 220, Acworth, GA 30101-8351 | |
| (770) 974-1978 | |
| (770) 974-1979 |
| Full Name | Kristen Elaine Fraley |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3450 Cobb Pkwy Nw, Acworth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972045730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT012857 (Georgia) | Primary |
| Provider Name | Independent Physical Therapy Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396 |
| Provider Name | Emory Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
| Provider Name | Horizons Therapy Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720373020 PECOS PAC ID: 5496781627 Enrollment ID: O20110621000685 |
| Provider Name | Georgia Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
| Provider Name | Inclusive Rehabilitation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417525916 PECOS PAC ID: 3476958976 Enrollment ID: O20210821000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Elaine Fraley, PT, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (423) 238-7217 | Kristen Elaine Fraley, PT, DPT 3450 Cobb Pkwy Nw, Ste 220, Acworth, GA 30101-8351 Ph: (770) 974-1978 |
Justin Desandre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 | |
Isabel Fabacher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Stanton Place Ln, Acworth, GA 30101 Phone: 248-982-5513 | |
Mrs. Karissa Tippens, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Suite 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Jonathan Shaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Jenna Dreyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw Ste 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 | |
Mr. Justin Taylor Gorrell, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3540 Cobb Pkwy Nw, Ste 200, Acworth, GA 30101 Phone: 678-501-6300 Fax: 678-384-3318 | |
Miss Erin Christine Golden, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4900 Ivey Rd Nw, Suite 1001, Acworth, GA 30101 Phone: 770-917-0924 Fax: 770-917-0926 |