Kyle Patrick Fahey, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021647 Issued in IL

Practice address

4100 N Marine Dr Apt 5a
Chicago, IL 60613-2316

Phone

(765) 592-2283

NPI assigned

Jun 13, 2020

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Satellite Physical Therapy

  • Physical Therapist
  • Chicago, IL
  • NPI 1124601331
  NPD Authorized official

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1780209924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N MARINE DR APT 5A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132316",
            "telephone_number": "765-592-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N MARINE DR APT 5A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132316",
            "telephone_number": "765-592-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safia Fahad, MD
• Juhie Faheem
• Colleen Elizabeth Fahey, MA CCC-SLP
• James F Fahey, PHARM.D.
• Jenna Fahey
• Meghan Fahey, DPT
• Abdel Fahmy, M.D.
• Dahlia Fahmy, PT
• Gregory J Fahrenbach, MD
• Paul V Fahrenbach, MD

• 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 Jun 13, 2020; 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.