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

Individual provider Physical Therapist · NPI 1407088453

Meghan Lively Fasseas is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2009, 17 years ago. Practices with Illinois Luna Care Physical Therapy LLC, a 129-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2009
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Practice location Address checks out

5616 W 63rd St
Chicago, IL 60638-5511
Phone: (773) 526-5239
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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 070.017272 (IL)

Record details

NPI number1407088453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2009
Last updated in NPPESOctober 7, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Illinois Luna Care Physical Therapy Llc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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