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

Mark Anthony Fellows

Individual provider Physical Therapist · NPI 1629226972

Mark Anthony Fellows is a Physical Therapist in Private Practice in Stony Brook, New York. Qualified in 1990, 36 years ago. Practices with Visiting Nurse Service and Hospice of Suffolk Inc, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2008

Practice location Address checks out

7 Ballad Pl
Stony Brook, NY 11790-2625
Phone: (631) 689-7523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 011685 (NY)

Record details

NPI number1629226972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2008
Last updated in NPPESAugust 28, 2008
Mailing address7 Ballad Pl, Stony Brook, NY 11790-2625

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Visiting Nurse Service And Hospice Of Suffolk Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook