Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mavis Fraley, PT

Individual provider Physical Therapist · NPI 1194891440

Mrs. Mavis Fraley, PT is a Physical Therapist in Private Practice in Abingdon, Virginia. Graduated from Louisiana State University School of Medicine in Shreveport in 1993, 33 years ago. Practices with Benchmark Physical Therapy of VA LLC, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
33
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
TN, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

26106 Lee Hwy
Abingdon, VA 24211-7502
Phone: (276) 623-0274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Park Blvd, Bristol, TN 37620-7430 — (423) 844-4143

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3463 (TN)
Physical Therapist Taxonomy 225100000X · Licence CP054793T (VA)

Record details

NPI number1194891440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1993 (33 years in practice)
Group practice Benchmark Physical Therapy Of Va Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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