Nathan G Fry, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022998 Issued in PA

Practice address

689 Yorktown Rd
Lewisberry, PA 17339-9258

Phone

(717) 932-3830

Fax

(717) 932-3839

NPI assigned

Aug 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1700218567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 YORKTOWN RD",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399258",
            "telephone_number": "717-932-3830",
            "fax_number": "717-932-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "NATHAN",
        "middle_name": "G",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-04",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028816770008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Christian Duffy, PA-C
• George Stephen Durisek, MD
• Philip D. Edwards, M.D.
• Family First Health Corporation
• Carla Fotopoulos
• Demery L Garber, DPT
• Luellen Lee Gibbons, MSCCCSLP
• Neeti Bhatia Goel, MD
• Jay Goodman
• Christine Ann Gouldy, MD

• Physical Therapist in Lewisberry, PA
• Providers in Lewisberry, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.