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

Mark Anthony Fellows

Individual provider Physical Therapist · NPI 1629226972

Mark Anthony Fellows is a Physical Therapist in Private Practice in Stony Brook, New York. Qualified in 1990, 36 years ago. Practices with Visiting Nurse Service and Hospice of Suffolk Inc, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2008
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Practice location Address checks out

7 Ballad Pl
Stony Brook, NY 11790-2625
Phone: (631) 689-7523
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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 011685 (NY)

Record details

NPI number1629226972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 28, 2008
Last updated in NPPESAugust 28, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Visiting Nurse Service And Hospice Of Suffolk Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook