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

Mark David Fay, PT

Individual provider Physical Therapist · NPI 1750320172

Mark David Fay, PT is a Physical Therapist in Ponte Vedra, Florida. Licensed in Florida and Louisiana. Registered with an NPI since 2006.

Licensed in
FL, LA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

465 Town Plaza Ave Ste B
Ponte Vedra, FL 32081-5190
Phone: (904) 222-3780
Fax: (904) 306-5772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT23874 (FL)
Physical Therapist Taxonomy 225100000X · Licence 04438 (LA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT23874 (FL)

Record details

NPI number1750320172
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMay 15, 2025
Certification dateMay 9, 2025
Mailing address465 Town Plaza Ave, Suite B, Ponte Vedra, FL 32081

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