MEDICARE: PIEDMONT ADVANCED THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist
3	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1962077784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIEDMONT ADVANCED THERAPY

Provider Business Mailing Address
First Line	:	403 ONEIL DR
Second Line	:
City	:	JAMESTOWN
State	:	NC
Zip	:	27282-9796
Country	:	US
Telephone Number	:	704-578-4128
Fax Number	:

Provider Business Practice Location Address
First Line	:	5501 ADAMS FARM LN UNIT F
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-7098
Country	:	US
Telephone Number	:	704-578-4128
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATLYN FRY
Credential	:	CCC-SLP
Telephone Number	:	704-578-4128

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	11/13/2025

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Practice Location Address:

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1750905477 — KATLYN ELIZABETH FRY MS, CCC-SLP
Practice Location Address:

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Directions to “PIEDMONT ADVANCED THERAPY ” Practice Location

Language	Start Address	Practice Location

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