Amy Fanning, DPT
Physical Therapist in Brockton, Massachusetts
1457635765- Practice location
- 362 Belmont St, Brockton, MA 02301-4950
- Phone
- 508-584-7711
- Fax
- 508-584-7744
- Last updated
- October 5, 2011
Amy Fanning is a Physical Therapist based in Brockton, MA. Amy Fanning practices in Brockton, MA and has the professional credentials of DPT. The NPI Number for Amy Fanning is 1457635765 and holds a License No. 19717 (MA). The current practice location address for Amy Fanning is 362 Belmont St, Brockton, MA 02301-4950 and can be reached out via phone at 508-584-7711 and via fax at 508-584-7744.
Provider Profile Details
- NPI Number
- 1457635765
- Provider Name
- Amy Fanning
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 362 Belmont St, Brockton, MA 02301-4950
- Phone Number
- 508-584-7711
- Fax Number
- 508-584-7744
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 5, 2011
- Last Update Date
- October 5, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 362 Belmont St
Brockton, MA 02301-4950 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-4950
- Phone Number
- 508-584-7711
- Fax Number
- 508-584-7744
Provider Business Mailing Address Details
- Address
- 535 S Main St
Randolph, MA 02368-5261 - City
- Randolph
- State
- MA
- Zip
- 02368-5261
- Phone Number
- 781-961-3370
- Fax Number
- 781-767-7531
License Information
- License Number
- 19717
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amy Fanning, DPT?
The NPI number of Amy Fanning, DPT is 1457635765. It was assigned on October 5, 2011 and is currently active in the NPPES registry.
What is the specialty of Amy Fanning, DPT?
Amy Fanning, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 19717.
Where does Amy Fanning, DPT practice?
The practice location is 362 Belmont St, Brockton, MA 02301-4950. The office can be reached at 508-584-7711 (phone) or 508-584-7744 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457635765 directly on the NPPES registry website.