Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Fanara

Individual provider Physical Therapist · NPI 1962928663

Amanda Fanara is a Physical Therapist in Private Practice in Freehold, New Jersey. Qualified in 2017, 9 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
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Practice location Address checks out

303 W Main St
Freehold, NJ 07728-4832
Phone: (732) 431-8900
Fax: (732) 431-0244
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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 40QA01739700 (NJ)

Record details

NPI number1962928663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Freehold