MARK M FELLWOCK PT
NPI 1780885590
Physical Therapist - Orthopedic in Indianapolis, IN

Active since May 30, 2007
5604 W 74TH ST, INDIANAPOLIS, IN 46278(317) 290-1551(317) 290-2052 Get Directions Write a Review

NPPES record last updated: May 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark M Fellwock Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK M FELLWOCK PT (NPI 1780885590) is an individual orthopedic provider in Indianapolis, Indiana, licensed in Indiana (05004294A) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1780885590
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMARK M FELLWOCKCredential: PT
Location Address5604 W 74TH STIndianapolis, IN 46278-1752
Mailing Address5218 E 70th StIndianapolis, IN 46220-3838 · (317) 465-9046
Fax(317) 290-2052
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateMay 9, 2009
NPI 1780885590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in IN · 05004294A
Definition
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.
5604 W 74TH ST, Indianapolis, IN 46278

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
5604 W 74TH ST
INDIANAPOLIS, IN 46278
Physical Therapist
5604 W 74TH ST
INDIANAPOLIS, IN 46278
Clinic/Center (Occupational Medicine)
5604 W 74TH ST
INDIANAPOLIS, IN 46278
Physical Therapist
5604 W 74TH ST
INDIANAPOLIS, IN 46278
Preventive Medicine (Occupational Medicine)
5604 W 74TH ST, BUILDING #117
INDIANAPOLIS, IN 46278
Clinic/Center (Urgent Care)
5604 W 74TH ST
INDIANAPOLIS, IN 46278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Fellwock's NPI number?

The NPI number for Mark Fellwock is 1780885590. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Mark Fellwock located?

Mark Fellwock practices at 5604 W 74th St, Indianapolis, IN 46278. The listed phone number is (317) 290-1551.

What is Mark Fellwock's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Mark Fellwock was last updated on May 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.