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

Mark M Fellwock, PT

Individual provider Orthopedic Physical Therapist · NPI 1780885590

Mark M Fellwock, PT is an Orthopedic Physical Therapist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
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

5604 W 74th St
Indianapolis, IN 46278-1752
Phone: (317) 290-1551
Fax: (317) 290-2052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 05004294A (IN)

Record details

NPI number1780885590
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESMay 9, 2009
Mailing address5218 E 70th St, Indianapolis, IN 46220-3838

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