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

John Michael Agsao Fernandez, PTA

Individual provider Physical Therapy Assistant · NPI 1922767904

John Michael Agsao Fernandez, PTA is a Physical Therapy Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
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

2655 W Peterson Ave # 60659
Chicago, IL 60659-4017
Phone: (224) 715-6741
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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 160008094 (IL)

Record details

NPI number1922767904
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 17, 2021
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

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