Active NPI
Adam K Fry, PT DPT
- Physical Therapist
- Moody AFB, GA
National Provider Identifier
1013105394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7834
- Practice address
- 3278 Mitchell Blvd
Moody AFB, GA 31699-5003 - Phone
- (229) 257-6364
- NPI assigned
- Oct 11, 2007
- Last updated
- Jul 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7834 | AZ | Primary |
Addresses
Primary practice location
3278 Mitchell Blvd
Moody AFB, GA 31699-5003
Mailing address
3278 Mitchell Blvd
Moody AFB, GA 31699-1500
Phone (229) 257-6364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292981 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7834 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spooner Phoenix Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| KC's Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1578592705
-
- Physical Therapist
- Phoenix, AZ
- NPI 1477807485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1013105394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3278 MITCHELL BLVD",
"city": "MOODY AFB",
"state": "GA",
"postal_code": "316991500",
"telephone_number": "229-257-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3278 MITCHELL BLVD",
"city": "MOODY AFB",
"state": "GA",
"postal_code": "316995003",
"telephone_number": "229-257-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "ADAM",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292981",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moody AFB, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.