Individual provider Active NPI

Katlyn Elizabeth Fry, MS, CCC-SLP

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1750905477
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14033 Issued in NC
Practice address
5501 Adams Farm LN Unit F
Greensboro, NC 27407-7098
Phone
(704) 578-4128
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14033 NC Primary

Addresses

Primary practice location

5501 Adams Farm LN Unit F
Greensboro, NC 27407-7098

Mailing address

403 Oneil Dr
Jamestown, NC 27282-9796
Phone (704) 578-4128

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14033NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Advanced Therapy Speech-Language Pathologist CurrentSince Nov 18, 2025 Accepting new patients

Locations

5501 Adams Farm Ln
Unit F
Greensboro, NC 27407
Phone (704) 578-4128

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1750905477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ONEIL DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829796",
            "telephone_number": "704-578-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 ADAMS FARM LN UNIT F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077098",
            "telephone_number": "704-578-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "KATLYN",
        "middle_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.