Active NPI
Julia Dee Fry
- Orthotist
- West Chester, PA
National Provider Identifier
1558833533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OH000367
- Practice address
- 1450 E Boot Rd Ste 300C
West Chester, PA 19380-5931 - Phone
- (610) 696-5650
- NPI assigned
- Jan 1, 2019
- Last updated
- Jan 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OH000367 | PA | Primary |
| Prosthetist | 224P00000X | PO000263 | PA |
Addresses
Primary practice location
1450 E Boot Rd Ste 300C
West Chester, PA 19380-5931
Mailing address
1450 E Boot Rd Ste 300C
West Chester, PA 19380-5931
Phone (610) 696-5650
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 |
|---|---|---|---|
| OH000367 | PA | MD | Orthotist |
| PO000263 | PA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boas Surgical, Inc. | Orthotist | Past | Accepting new patients |
| Boas Surgical, Inc. | 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 Hanger Clinic
- Prosthetic/Orthotic Supplier
- West Chester, PA
- NPI 1477505931
Orthotist
-
- Prosthetic/Orthotic Supplier
- Swoyersville, PA
- NPI 1588179212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546300800000",
"number": "1558833533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 E BOOT RD STE 300C",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193805931",
"telephone_number": "610-696-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E BOOT RD STE 300C",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193805931",
"telephone_number": "610-696-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "JULIA",
"middle_name": "DEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-01",
"last_updated": "2019-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "PA",
"license": "OH000367",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "PA",
"license": "PO000263",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.