MARK M FELLWOCK PT NPI 1780885590

NPI Information

  • NPI: 1780885590
  • Provider Name: MARK M FELLWOCK, PT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 5604 W 74TH ST
    INDIANAPOLIS, IN
    ZIP 46278
  • Phone: (317) 290-1551

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NPI Details

Mark M Fellwock, PT is an orthopedic physical therapist in Indianapolis, IN. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Mark M Fellwock, PT NPI is 1780885590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5604 W 74TH ST
INDIANAPOLIS, IN
ZIP 46278-752
Phone: (317) 290-1551
Fax: (317) 290-2052

The enumeration date for this NPI number is 5/30/2007 and was last updated on 5/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedic05004294AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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