Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennesa Fahey, DPT

Individual provider Physical Therapist · NPI 1013366467

Jennesa Fahey, DPT is a Physical Therapist in Private Practice in Tinley Park, Illinois. Qualified in 2016, 10 years ago. Practices with Goodlife Physical Therapy, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17129 S Harlem Ave Ste B3
Tinley Park, IL 60477
Phone: (630) 967-2000
Fax: (708) 745-5115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16139 Weber Rd, Crest Hill, IL 60403-8742 — (815) 836-3403

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.022630 (IL)

Record details

NPI number1013366467
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing addressPo Box 713260, Chicago, IL 60677-1260

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Goodlife Physical Therapy — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Tinley Park