Jo M Fasen, MPT, OCS, CSCS, MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

675 N Saint Clair St
Suite 17-100
Chicago, IL 60611-5975

Phone

(312) 695-6800

Fax

(312) 695-2771

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447476205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N STATE ST",
            "address_2": "36D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105476",
            "telephone_number": "312-926-5772",
            "fax_number": "312-695-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N SAINT CLAIR ST",
            "address_2": "SUITE 17-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115975",
            "telephone_number": "312-695-6800",
            "fax_number": "312-695-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASEN",
        "first_name": "JO",
        "middle_name": "M",
        "credential": "MPT, OCS, CSCS, MDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hafsa Faruqi
• Tabassum Faruqi, M.D.
• Sarah Farwick, MSN DNP PMHNP-BC
• Ronald Fary, OD
• Clarissa Fasbender
• Brian Joseph Fask, LCSW
• Ariana Cristina Faso, DNP, CPNP-PC
• Olalekan Olumuyiwa Fasogbon, PMHNP
• Ofer Fass, MD
• Meghan Lively Fasseas

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.