Mark Anthony Fellows

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011685 Issued in NY

Practice address

7 Ballad PL
Stony Brook, NY 11790-2625

Phone

(631) 689-7523

NPI assigned

Aug 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visiting Nurse Service and Hospice of Suffolk Inc.Group PAC ID 5294646436, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Visiting Nurse Service and Hospice of Suffolk Inc

  • Home Health Agency
  • Northport, NY
  • NPI 1225272511
  Medicare reassignment Care Compare group NPD
• Visiting Nurse Service and Hospice of Suffolk Inc.

  • Community Based Hospice Care Agency
  • Northport, NY
  • NPI 1184652018
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1629226972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BALLAD PL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902625",
            "telephone_number": "631-689-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BALLAD PL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902625",
            "telephone_number": "631-689-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Federico
• Desiree Fedrich, NP
• Caitlin Feeks, D.O.
• Andrew Feit, M.D.
• Eric James Feldmann, MD
• Patricia Joan Fellows, N.P.
• Fred Shakespeare Ferguson, DDS
• Carlos Fermo Jr., MD
• Claudia Veronica Fernandez, MD
• Harold Alberto Fernandez, M.D.

• Physical Therapist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.