JENNIFER L FAST (PT) – Physical Therapist, NPI 1679851463

JENNIFER L FAST (PT) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070018461 (IL). The NPI Number for JENNIFER L FAST (PT) is 1679851463

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L FAST (PT)
NPI
1679851463
Phone
(312) 640-0329
Address
205 W WACKER DR
Enumeration Date
27 July 2011
Last Update Date
20 January 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8164748877
Graduation Year
2011 (15 years ago)
PAC ID
2860662673
Group Practice PAC ID
1850370453
Professional Enrollment ID
I20130104000200
Address ID
KS662262255SH5600XTERX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JENNIFER L FAST (PT)

  • 205 W WACKER DR

    SUITE 1020

    CHICAGO, IL 606061216

    Phone: (312) 640-0329

    Type: Mailing

  • 2820 W ARMITAGE AVE

    SUITE 6

    CHICAGO, IL 606476317

    Phone: (773) 394-0796

    Fax: (773) 394-3342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130104000200IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850370453View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Where can patients find JENNIFER L FAST (PT)'s NPI?
You can confirm JENNIFER L FAST (PT) with NPI 1679851463; it appears in the national provider directory.
Is JENNIFER L FAST (PT) active in the national directory?
JENNIFER L FAST (PT)'s public NPI profile is in an active state.
Does JENNIFER L FAST (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for JENNIFER L FAST (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER L FAST (PT)?
The page summarizes Chicago, Illinois for JENNIFER L FAST (PT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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