Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Lynn Frye, D-PT

Individual provider Physical Therapist · NPI 1508460577

Shannon Lynn Frye, D-PT is a Physical Therapist in Private Practice in Green Bay, Wisconsin. Qualified in 2020, 6 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

3021 Voyager Dr
Green Bay, WI 54311-8303
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15291-24 (WI)

Record details

NPI number1508460577
Entity typeIndividual (Type 1)
GenderFemale
Credentials D-PT
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay