Active NPI
Karl Erick Fry, PT, OCS, CSCS
- Physical Therapist
- Madison, WI
National Provider Identifier
1215954060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5854-024
- Practice address
- 8042 Watts Road
Madison, WI 53719 - Phone
- (608) 265-7500
- Fax
- (608) 261-1760
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 5854-024 | WI | Primary |
Addresses
Primary practice location
8042 Watts Road
Madison, WI 53719
Mailing address
8042 Watts Road
Madison, WI 53719
Phone (608) 265-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5854-024 | Other | WI | PT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5854-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Past | Accepting new patients | |
| University of Wisconsin Hospitals and Clinics Authority | 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.
-
dba UW Health Pharmacy Services
- Pharmacy
- Middleton, WI
- NPI 1750804514
-
- Health Educator
- Madison, WI
- NPI 1487414082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215954060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8042 WATTS ROAD",
"city": "MADISON",
"state": "WI",
"postal_code": "53719",
"telephone_number": "608-265-7500",
"fax_number": "608-261-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8042 WATTS ROAD",
"city": "MADISON",
"state": "WI",
"postal_code": "53719",
"telephone_number": "608-265-7500",
"fax_number": "608-261-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "KARL",
"middle_name": "ERICK",
"name_prefix": "Mr.",
"credential": "PT, OCS, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5854-024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "5854-024",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.