Active NPI
Shannon Lynn Frye, D-PT
- Physical Therapist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15291-24
- Practice address
- 3021 Voyager Dr
Green Bay, WI 54311-8303 - Phone
- (920) 496-4700
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- 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 | 15291-24 | WI | Primary |
Addresses
Primary practice location
3021 Voyager Dr
Green Bay, WI 54311-8303
Mailing address
PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100139235 | Medicaid | WI |
Other names 1
- Shannon Lynn Carney
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfrye517802@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201221001533 | WI | Practitioner - Physical Therapist in Private Practice | 4981016797 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Vincent Hospital-Hospital Sisters-Third Order of St FrancisBellin Memorial Hospital Inc
Practice addresses (Care Compare)
3021 Voyager Dr
Green Bay, WI 54311-8303
Phone (920) 496-4700
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15291-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Physical Therapist | Current | Accepting new patients |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- sfrye517802@ewd.direct.hshs.org
Organizations & group practices 31
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
WI
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Physical Therapist
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
WI
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Green Bay, WI
- NPI 1518920883
-
- Home Infusion Therapy Pharmacy
- Green Bay, WI
- NPI 1619078094
-
- Rural Health Clinic/Center
- Kewaunee, WI
- NPI 1699737379
-
- Mobile Radiology Clinic/Center
- Green Bay, WI
- NPI 1740600600
-
- Home Health Agency
- Green Bay, WI
- NPI 1831246404
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
-
- Rehabilitation Hospital Unit
- Green Bay, WI
- NPI 1174689178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1508460577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19070",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543079070",
"telephone_number": "920-496-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 VOYAGER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118303",
"telephone_number": "920-496-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE",
"first_name": "SHANNON",
"middle_name": "LYNN",
"credential": "D-PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15291-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100139235",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfrye517802@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3021 Voyager Dr",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543118303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "CARNEY",
"middle_name": "LYNN",
"credential": "D-PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.