MARK M FELLWOCK (NPI# 1780885590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780885590 |
| Entity Type | Individual |
| Full Name | MARK M FELLWOCK |
| Credential | PT |
| Practice Address |
5604 W 74th St Indianapolis IN 46278-1752 |
| Mailing Address |
5218 E 70th St Indianapolis IN 46220-3838 |
| Practice Telephone | 3172901551 |
| Practice Fax Number | 3172902052 |
| Mailing Telephone | 3174659046 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
05004294A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5604 W 74TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46278-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205984994 | Graham Wilson | Physical Therapist | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2007-01-08 |
| 1083021513 | Us Medgroup Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2014-07-16 |
| 1588933238 | Linda Paden | Physical Therapist | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2011-12-27 |
| 1801071196 | American Current Care Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2008-01-04 |
| 1619098068 | Thomas Perrin | Preventive Medicine | 5604 W 74th St, Building #117, Indianapolis, IN 46278-1752 | 2007-04-03 |
| 1497880793 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 5604 W 74th St, Indianapolis, IN 46278-1752 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982156196 | Ayushi Sharma | Physical Therapy Assistant | 7345 Woodland Drive, Suite B, Indianapolis, IN 46278 | 2016-11-04 |
| 1518411123 | Maricar Maria Veluz | Physical Therapist | 5980 West 71st Street, Suite 102, Indianapolis, IN 46278 | 2016-08-11 |
| 1447514682 | Sean Russell Dillon | Family Medicine | 7439 Woodland Dr Ste 105, Indianapolis, IN 46278 | 2012-07-03 |
| 1154605137 | Lisa Marie Louks | Pharmacist | 6820 Shanghai Circle, Indianapolis, IN 46278 | 2011-10-07 |
| 1750689402 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 5807 W 73rd St, Indianapolis, IN 46278 | 2011-03-04 |
| 1083863013 | Concentra Health Services, Inc. | Clinic/Center | 5604 W. 74th Street, Indianapolis, IN 46278 | 2008-09-15 |
| 1770779001 | Elite Chiropractic & Wellness, Inc | Chiropractor | 5650 West 86th Street, Suite 128, Indianapolis, IN 46278 | 2007-09-20 |
| 1073734737 | Sochiele Atienza | Contractor | 5980 W. 71st Street, Suite 201, Indianapolis, IN 46278 | 2007-05-01 |
| 1417034422 | Julie Daftari | Family Medicine | 7440 Woodland Drive, Indianapolis, IN 46278 | 2006-11-01 |
| 1437146594 | Kci Usa Inc. | Durable Medical Equipment & Medical Supplies | 7015 Corporate Cir, Suite 7015, Indianapolis, IN 46278 | 2005-10-04 |
| Find all providers in zip 46278 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225682768 | Jenette Kern | Physical Therapist | 8902 N Meridian St Ste 120, Indianapolis, IN 46260-5306 | 2019-08-01 |
| 1982267522 | Josh James Weyer | Physical Therapist | 5925 Kingsley Dr, Indianapolis, IN 46220-2434 | 2019-04-18 |
| 1619257698 | Stacey Reith | Physical Therapist | 8150 Oaklandon Rd Ste 111, Indianapolis, IN 46236-9554 | 2011-08-23 |
| 1285819664 | Ampt Advanced Manual Physical Therapy Specialty Pt Clinics, LLC | Physical Therapist | 8310 Allison Pointe Blvd, Suite 102, Indianapolis, IN 46250-1981 | 2008-01-04 |
| 1013130798 | St. Mary Rehabilitation and Health | Physical Therapist | 1230 Kings Cove Ct, Indianapolis, IN 46260-1605 | 2007-04-11 |
| 1649302662 | Jeff Busha | Physical Therapist | 9757 Westpoint Drive, Suite 200, Indianapolis, IN 46256-1465 | 2007-03-12 |
| 1548356090 | Michael R Ploski | Physical Therapist | 6330 E. 75th St., Suite 116, Indianapolis, IN 46250-2717 | 2006-10-04 |
| 1750990883 | Gina Nicole Belet Milesi | Physical Therapist | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 | 2020-07-24 |
| 1275174906 | Bruce A Neff Dba Armstrong Physiotherapy | Physical Therapist | 609 E 29th St Rm 102, Indianapolis, IN 46205-4160 | 2019-10-03 |
| 1508414962 | Kelsey Kennedy Smith | Physical Therapist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2019-08-29 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46278 |
Please comment or provide details below to improve the information on MARK M FELLWOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.