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

Amy Fanning, DPT

Individual provider Physical Therapist · NPI 1457635765

Amy Fanning, DPT is a Physical Therapist in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

362 Belmont St
Brockton, MA 02301-4950
Phone: (508) 584-7711
Fax: (508) 584-7744
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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 19717 (MA)

Record details

NPI number1457635765
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 5, 2011
Last updated in NPPESOctober 5, 2011
Mailing address535 S Main St, Randolph, MA 02368-5261

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