Individual provider Active NPI

Amanda Elayne Hanekom, MD

  • Physical Medicine & Rehabilitation Physician
  • Longwood, FL
National Provider Identifier
1699138446
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME145987 Issued in FL
Practice address
155 Landover PL
Longwood, FL 32750-4924
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME145987 FL Primary

Addresses

Primary practice location

155 Landover PL
Longwood, FL 32750-4924

Mailing address

PO Box 7410884
Chicago, IL 60674-0884
Phone (702) 899-0595

Other names 1

  • Miss Amanda Elayne Farmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015000020 FL Practitioner - Physical Medicine and Rehabilitation 9931529856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Florida Atlantic University, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants Florida PLLCGroup PAC ID 4486997426, 41 clinicians

Practice addresses (Care Compare)

1851 Elkcam Blvd
Deltona Health Care
Deltona, FL 32725-3922
Phone (386) 789-3769

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
70.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME145987FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants Florida, PLLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2020 Accepting new patients

Locations

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

1520 S Grant St
Longwood, FL 32750
Phone (407) 339-9200

155 Landover Pl
Longwood, FL 32750
Phone (407) 830-7740

9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520

7045 Evergreen Woods Trl
Spring Hill, FL 34608
Phone (352) 596-8371

6700 W Commercial Blvd
Tamarac, FL 33319
Phone (888) 253-3636

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

558 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 628-0123

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1699138446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410884",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740884",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LANDOVER PL",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504924",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEKOM",
        "first_name": "AMANDA",
        "middle_name": "ELAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME145987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FARMER",
            "middle_name": "ELAYNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.