Individual provider Active NPI

Amanda Ann Fusaro, DPT

  • Physical Therapist
  • Westerly, RI
National Provider Identifier
1740439744
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT02414 Issued in RI
Practice address
55 Beach St
Suite 1 & 2
Westerly, RI 02891-2770
Phone
(401) 348-1010
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT02414 RI Primary

Addresses

Primary practice location

55 Beach St
Suite 1 & 2
Westerly, RI 02891-2770

Mailing address

55 Beach Street
Suites 1&2
Westerly, RI 02891-2770
Phone (401) 348-1010

Other names 1

  • Ms. Amanda Ann McLenithan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120313000481 RI Practitioner - Physical Therapist in Private Practice 1850441031 Reassigns benefits to 2 organizations
I20250605003086 CT Practitioner - Physical Therapist in Private Practice 1850441031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physical Occupational and Speech Therapy of CT LLC 13 clinicians

Practice addresses (Care Compare)

55 Beach St
Westerly, RI 02891-2770
Phone (401) 348-1010

85 Beach St
Westerly, RI 02891-2717
Phone (401) 348-8112

969 Poquonnock Rd
Groton, CT 06340-4257
Phone (860) 967-7342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18711MAMDPharmacist
030516NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational and Speech Therapy of CT LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Napatree Physical Therapy Inc CurrentSince Jan 5, 2012 Accepting new patients
Napatree Physical Therapy Inc Physical Therapist CurrentSince Jan 5, 2012 Accepting new patients
Rush-Select Holdings, LLC PastSince Jun 1, 2022 Accepting new patients

Locations

969 Poquonnock Rd
Groton, CT 06340
Phone (860) 967-7342

14 Clara Dr
Ste 3
Mystic, CT 06355
Phone (860) 245-0851

800 E Gate Blvd
Garden City, NY 11530

85 Beach St
Westerly, RI 02891
Phone (401) 348-8112

55 Beach St
Ste 1
Westerly, RI 02891
Phone (401) 348-1010

Organizations & group practices 4

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1740439744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEACH STREET",
            "address_2": "SUITES 1&2",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912770",
            "telephone_number": "401-348-1010",
            "fax_number": "401-348-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BEACH ST",
            "address_2": "SUITE 1 & 2",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912770",
            "telephone_number": "401-348-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSARO",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MCLENITHAN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.