Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Anthony Fano, PT, DPT

Individual provider Physical Therapist · NPI 1902633282

Dr. Anthony Fano, PT, DPT is a Physical Therapist in Private Practice in Pine Brook, New Jersey. Qualified in 2024, 2 years ago. Practices with Mile High Physical Therapy Professional Corporation, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

321 Changebridge Rd
Pine Brook, NJ 07058-9583
Phone: (973) 396-8585
Fax: (973) 396-8587
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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 40QA02290500 (NJ)

Record details

NPI number1902633282
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 19, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mile High Physical Therapy Professional Corporation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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