Bobbi Fry, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-00903 Issued in AZ

Practice address

1 W Firestorm Way
Glendale, AZ 85306-3216

Phone

(360) 581-9977

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1558901439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8092 W PARADISE LN APT 1127",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824984",
            "telephone_number": "360-581-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W FIRESTORM WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063216",
            "telephone_number": "360-581-9977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11200 N 83rd Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853455945",
            "country_code": "US",
            "telephone_number": "623-486-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "BOBBI",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-00903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micheal Nicole Frost
• Christophe P Frouge, MD PHD
• Threasa H Frouge, MD
• Karen L Frusti, LPN
• Andrea Fry, LPC
• FSL Pathways (AllThrive365 BHS)
• FSL Pathways (AllThrive365 BHS)
• FSL Programs
• Brianna J Fuhrman-Johnson, LMT
• Hayden Reese Fuller

• Athletic Trainer in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.