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

Mr. Mark Renard Fisher, RPT

Individual provider Physical Therapist · NPI 1114008653

Mr. Mark Renard Fisher, RPT is a Physical Therapist in Private Practice in Woodland, California. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1321 College St Ste D
Woodland, CA 95695-4706
Phone: (530) 662-0378
Fax: (530) 662-9093
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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 OPT228610 (CA)

Record details

NPI number1114008653
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Woodland