Active NPI
Emily Fry, MS, OTR/L
- Occupational Therapist
- Petaluma, CA
National Provider Identifier
1912803396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15487
- Practice address
- 1010 Saint Francis Dr
Petaluma, CA 94954-5322 - Phone
- (707) 765-4304
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15487 | CA | Primary |
Addresses
Primary practice location
1010 Saint Francis Dr
Petaluma, CA 94954-5322
Mailing address
92 Center Rd
Petaluma, CA 94952-8114
Phone (707) 322-7727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1912803396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 CENTER RD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949528114",
"telephone_number": "707-322-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SAINT FRANCIS DR",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949545322",
"telephone_number": "707-765-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "EMILY",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.