Organization Active NPI

Terry a. Frye Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Richland, WA
National Provider Identifier
1821406877
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00007959 Issued in WA
Legal business name
TERRY A. FRYE PHYSICAL THERAPY, PLLC
Practice address
303 Bradley Blvd Ste 204
Richland, WA 99352-4497
Phone
(509) 430-9669
Fax
(509) 461-8088
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Terry A Frye, MS, PTNPI 1104943018
Title
Owner, PT
Phone
(509) 430-9669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT00007959 WA Primary

Addresses

Primary practice location

303 Bradley Blvd Ste 204
Richland, WA 99352-4497

Mailing address

PO Box 4015
West Richland, WA 99353-4000
Phone (509) 430-9669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140826000315 WA Part B Supplier - Clinic/Group Practice 9739307257 Receives reassigned benefits from 1 practitioner
Practice locations: Richland, WA

National Provider Directory

National Provider Directory

Locations

303 Bradley Blvd
Ste 204
Richland, WA 99352
Phone (509) 430-9669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1821406877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4015",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993534000",
            "telephone_number": "509-430-9669",
            "fax_number": "509-461-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BRADLEY BLVD STE 204",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524497",
            "telephone_number": "509-430-9669",
            "fax_number": "509-461-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY A. FRYE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "509-430-9669",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00007959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.