Mavis Fraley, PT
NPI 1194891440ActiveIndividual· Physical Therapist· Abingdon, VA
Physical Therapist (PT) in Abingdon, Virginia, trained at Louisiana State University School of Medicine in Shreveport (class of 1993). Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1194891440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Jun 11, 2026 |
| Certified by provider | Jun 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 3463 | TN |
| Physical Therapist | 225100000X | CP054793T | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN); Practitioner - Physical Therapist in Private Practice (VA) |
|---|
Education and affiliations
| Medical school | Louisiana State University School of Medicine in Shreveport |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Benchmark Physical Therapy of VA LLCMechanicsville, VA · 36 clinicians
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All 37 physical therapists in Abingdon · All physical therapists in Virginia