Individual provider · Type 1 NPI

John Michael Agsao Fernandez, PTA

Physical Therapy Assistant · Chicago, IL

NPI number 1922767904 Active

Practice location

2655 W Peterson Ave # 60659
Chicago, IL 60659-4017

Call (224) 715-6741 Map

Mailing address

2655 W Peterson Ave
Chicago, IL 60659-4017

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	160008094 (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 …

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About NPI 1922767904

John Michael Agsao Fernandez, PTA's National Provider Identifier is 1922767904, issued on Dec 17, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Chicago, IL. The record was last updated on Dec 17, 2021.