Individual provider Active NPI

Michele Fry, L.AC., PT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1245423102
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT871822 Issued in DC
Practice address
2233 Wisconsin Ave NW
Suite 217
Washington, DC 20007-4104
Phone
(202) 333-5252
Fax
(202) 333-1159
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC500229 DC
Physical Therapist 225100000X PT871822 DC Primary

Addresses

Primary practice location

2233 Wisconsin Ave NW
Suite 217
Washington, DC 20007-4104

Mailing address

12508 Rolling Road
Potomac, MD 20854
Phone (301) 500-8913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007000218 DC Practitioner - Physical Therapist in Private Practice 3173831468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
George Washington University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Elements Center IncorporatedGroup PAC ID 8628108354, 5 clinicians

Practice addresses (Care Compare)

2233 Wisconcin Ave NW
Suite 217
Washington, DC 20007-4140
Phone (202) 333-5252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC500229DCMDAcupuncturist
PT871822DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Center Incorporated CurrentSince Aug 27, 2015 Accepting new patients
Elements Fitness and Wellness Center LLC PastSince Aug 27, 2015 Accepting new patients

Locations

2233 Wisconsin Ave NW
Ste 217
Washington, DC 20007
Phone (202) 333-5252

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1245423102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 ROLLING ROAD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-500-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WISCONSIN AVE NW",
            "address_2": "SUITE 217",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074104",
            "telephone_number": "202-333-5252",
            "fax_number": "202-333-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "MICHELE",
        "credential": "L.AC., PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500229",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.