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

Mark Fedorczak

Individual provider Physical Therapist · NPI 1982355772

Mark Fedorczak is a Physical Therapist in Private Practice in Great Neck, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2000, 26 years ago. Practices with Reddy Care Physical Therapy PC, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 152 Jefferson Rd, Farmingdale, NY 11735-2213 — (516) 717-7114

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 022511 (NY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1982355772
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address475 Northern Blvd Ste 27, Great Neck, NY 11021-4802

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2000 (26 years in practice)
Group practice Reddy Care Physical Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck