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

Mark Andrew Fasick

Individual provider Physical Therapist · NPI 1760097406

Mark Andrew Fasick is a Physical Therapist in Private Practice in Park Ridge, Illinois. Qualified in 1991, 35 years ago. Practices with Restore Neurorehab PLLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
35
In the registry since
2020
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Practice location Address checks out

1775 Dempster St
Park Ridge, IL 60068-1143
Phone: (847) 723-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1760097406
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Restore Neurorehab Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Park Ridge