Deborah Anne Fry Physician PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DEBORAH ANNE FRY PHYSICIAN PC

Practice address

1 Spring Back Way
Anderson, SC 29621-2676

Phone

(864) 716-2662

Fax

(864) 716-2627

NPI assigned

Sep 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Anne Fry, M.D.NPI 1245269729

Title

Owner

Phone

(716) 868-8767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Anne Fry, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Anderson, SC
  • NPI 1245269729
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1114277274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678242",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678242",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRING BACK WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212676",
            "telephone_number": "864-716-2662",
            "fax_number": "864-716-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH ANNE FRY PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-868-8767",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wajdi Ali Dbouk, MD
• Thomas Scott Deal, RPH
• Arthur J Dean Jr., M.D.
• Richard John Deangelis, M.D.
• Sarah M Deblaey
• Luaren M Decuers
• Brian Dees, PTA
• Alexandra Jane Defore, PHARMD
• Linda Marie Defrahn, COTA/L
• Megan Brooke Dehaven, PHARMD, BCPS

• Physical Medicine & Rehabilitation Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.