Kyle Fry

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT028181 Issued in PA

Practice address

1175 Lancaster Ave
Berwyn, PA 19312-1297

Phone

(610) 651-8282

Fax

(610) 651-8213

NPI assigned

Nov 13, 2019

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1568007607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121297",
            "telephone_number": "610-651-8282",
            "fax_number": "610-651-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT028181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Fetterman, D.C.
• John B Fitzgerald III, D.M.D.
• Joycelyn Fletcher
• Lauren Cordes Flynn, D.O.
• Margareth Fontaine
• Lucy Fulton, OT/R
• Charlene Gallagher, R PH
• Thomas Albert Galullo, D.D.S.
• Gabrielle Marie Caponigro Geib, L.AC.
• Genhealth LLC

• Orthopedic Physical Therapist in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.