Individual provider · Type 1 NPI

Severiano Fernandez, PTA

Physical Therapy Assistant · Chicago, IL

NPI number 1699688036 Active

Practice location

200 E Randolph St Ste 5100
Chicago, IL 60601-6528

Call (630) 474-2759 Map

Mailing address

3614 W George St Apt 2F
Chicago, IL 60618-7882

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	160.010110 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

3 other providers at this address

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About NPI 1699688036

Severiano Fernandez, PTA's National Provider Identifier is 1699688036, issued on Sep 25, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chicago, IL. The record was last updated on Sep 25, 2026.