| Dr Anthony Fano, PT,DPT | |
|
321 Changebridge Rd, Pine Brook, NJ 07058-9583 | |
| (973) 396-8585 | |
| (973) 396-8587 |
| Full Name | Dr Anthony Fano |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 321 Changebridge Rd, Pine Brook, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902633282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02290500 (New Jersey) | Primary |
| Provider Name | Mile High Physical Therapy Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730665662 PECOS PAC ID: 7911257597 Enrollment ID: O20190327001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Fano, PT,DPT 321 Changebridge Rd, Pine Brook, NJ 07058-9583 Ph: (973) 396-8585 | Dr Anthony Fano, PT,DPT 321 Changebridge Rd, Pine Brook, NJ 07058-9583 Ph: (973) 396-8585 |
Dr. Casey Hasenbein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-396-8585 Fax: 973-396-8587 | |
Lauren Michelle Cirule, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 263 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-575-1112 Fax: 973-575-1369 | |
Dr. Paige Elizabeth Dwight Dickman, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 43 Us Highway 46 Ste 706, Pine Brook, NJ 07058 Phone: 973-556-8465 | |
Mile High Physical Therapy Professional Corporation Physical Therapist Medicare: Medicare Enrolled Practice Location: 321 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-396-8585 Fax: 973-396-8587 | |
Dr. Cara Jenson, PT, DPT, EP-C Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 Konner Ave, Pine Brook, NJ 07058 Phone: 973-865-8925 | |
Dr. Eric W Stivers, PT,DPT,OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Changebridge Rd, Pine Brook, NJ 07058 Phone: 973-396-8585 Fax: 973-396-8587 |