Individual provider Active NPI

Gregory Eugene Fritz, P.T.

  • Physical Therapist
  • Anacortes, WA
National Provider Identifier
1073682704
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003585 Issued in WA
Practice address
3001 R Ave
Suite 110
Anacortes, WA 98221-4602
Phone
(360) 299-2781
Fax
(360) 299-3038
NPI assigned
Nov 7, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 PT00003585 WA Primary

Addresses

Primary practice location

3001 R Ave
Suite 110
Anacortes, WA 98221-4602

Mailing address

3001 R Ave
Suite 110
Anacortes, WA 98221-4602
Phone (360) 299-2781

Other identifiers 2

IdentifierTypeStateIssuer
126555OtherWADEPT OF LABOR & INDUSTRIE
8356768MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000321 WA Practitioner - Physical Therapist in Private Practice 9436041076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Echohealth Physical Therapy, P.S. Physical Therapist CurrentSince Jul 7, 2021 Accepting new patients
Burlington Physical Therapy, LLC Physical Therapist PastSince Apr 30, 2003 Accepting new patients

Locations

3001 R Ave
Unit 210C
Anacortes, WA 98221
Phone (360) 333-2308

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1073682704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 R AVE",
            "address_2": "SUITE 110",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214602",
            "telephone_number": "360-299-2781",
            "fax_number": "360-299-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 R AVE",
            "address_2": "SUITE 110",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214602",
            "telephone_number": "360-299-2781",
            "fax_number": "360-299-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "GREGORY",
        "middle_name": "EUGENE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "126555",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8356768",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.