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

Kyle Ren Barcenas Fernando, PT

Individual provider Physical Therapist · NPI 1093370611

Kyle Ren Barcenas Fernando, PT is a Physical Therapist in Private Practice in Joliet, Illinois. Qualified in 2016, 10 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone: (630) 967-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070024281 (IL)

Record details

NPI number1093370611
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 8, 2019
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023

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 Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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