Individual provider Active NPI

Julia Dee Fry

  • Orthotist
  • West Chester, PA
National Provider Identifier
1558833533
Registry record updated Jan 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
OH000367 Issued in PA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OH000367PAMDOrthotist
PO000263PAMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Boas Surgical, Inc. Orthotist PastSince Oct 20, 2019 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.

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.

Verify at the official NPI Registry.