Active NPI
Chelsey R Fry, M.S., CCC-SLP
- Speech-Language Pathologist
- Stillwater, OK
National Provider Identifier
1629551973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4548
- Practice address
- 120 N Perkins Rd Ste F
Stillwater, OK 74075-5524 - Phone
- (405) 564-2701
- Fax
- (888) 581-6850
- NPI assigned
- Sep 12, 2018
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4548 | OK | Primary |
Addresses
Primary practice location
120 N Perkins Rd Ste F
Stillwater, OK 74075-5524
Mailing address
PO Box 1956
Stillwater, OK 74076-1956
Phone (405) 564-2701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4548 | Other | OK | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181008001992 | OK | Practitioner - Qualified Speech Language Pathologist | 8224380910 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Therapy Solutions, LLC
Practice addresses (Care Compare)
120 N Perkins Rd
Suite F
Stillwater, OK 74075-5524
Phone (405) 564-2701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1629551973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1956",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740761956",
"telephone_number": "405-564-2701",
"fax_number": "888-581-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N PERKINS RD STE F",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740755524",
"telephone_number": "405-564-2701",
"fax_number": "888-581-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "CHELSEY",
"middle_name": "R",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "4548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4548",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.