| Shaon D Fry, PT | |
|
202 E Nifong Blvd, Suite A, Columbia, MO 65203-3759 | |
| (573) 777-6955 | |
| (573) 777-6957 |
| Full Name | Shaon D Fry |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 31 Years |
| Location | 202 E Nifong Blvd, Columbia, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558380659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 109173 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Physician Services Llc | 6507090644 | 246 |
| Provider Name | Boone Physician Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Provider Name | Central Missouri Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaon D Fry, PT 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 Ph: (573) 449-8771 | Shaon D Fry, PT 202 E Nifong Blvd, Suite A, Columbia, MO 65203-3759 Ph: (573) 777-6955 |
Kathy Elaine Maxey, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Club Village Dr, Suite 103, Columbia, MO 65203 Phone: 573-256-2777 Fax: 573-256-2764 | |
Carly Zimmerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Ste 102, Columbia, MO 65201 Phone: 573-443-0225 | |
Rachel Muenks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 N Cedar Lake Dr W, Columbia, MO 65203 Phone: 314-669-5243 | |
Kelly Maunu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1818 W Worley St, Columbia, MO 65203 Phone: 573-214-3400 | |
Ms. Miranda L Bourgeois, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 Berrywood Dr, Suite 204, Columbia, MO 65201 Phone: 573-449-6082 | |
Mrs. Beth Kinser Lewis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 N Keene St Ste 102, Columbia, MO 65201 Phone: 573-874-0001 Fax: 573-449-3278 | |
Noah Brayden Cunningham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 W Nifong Blvd Ste 121, Columbia, MO 65203 Phone: 573-442-5268 |