Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Severiano Fernandez, PTA

Individual provider Physical Therapy Assistant · NPI 1699688036

Severiano Fernandez, PTA is a Physical Therapy Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

200 E Randolph St Ste 5100
Chicago, IL 60601-6528
Phone: (630) 474-2759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.010110 (IL)

Record details

NPI number1699688036
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 25, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 22, 2026

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