MR. MARK RENARD FISHER (R.P.T.) – Physical Therapist, NPI 1114008653

MR. MARK RENARD FISHER (R.P.T.) is a healthcare provider. based in Woodland, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials R.P.T.. They hold a License No. OPT228610 (CA). The NPI Number for MR. MARK RENARD FISHER (R.P.T.) is 1114008653

Main info

Male
Sole Proprietor
29 Years Of Experience
Name
MR. MARK RENARD FISHER (R.P.T.)
NPI
1114008653
Phone
(530) 662-0378
Address
1321 COLLEGE ST STE D
Enumeration Date
18 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
7012176381
Professional Enrollment ID
I20120306000246
Address ID
CA956954706WO1321XDXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MR. MARK RENARD FISHER (R.P.T.)

  • College Street, Woodland, Yolo County, California, 95695, United States

    WOODLAND, CA 956954706

    Phone: (530) 662-0378

    Fax: (530) 662-9093

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120306000246IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes3,900121$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,299122$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2,129122$0
97113Therapy procedure using water pool to exercises, each 15 minutes1,20037$0
97162Evaluation for physical therapy, typically 30 minutes114104$0
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Insurance plans in this area (ZIP 95695)

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Provider's Procedures

MR. MARK RENARD FISHER (R.P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation174155
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1244116

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. MARK RENARD FISHER (R.P.T.)?
MR. MARK RENARD FISHER (R.P.T.) — NPI 1114008653 — is the standard way to identify this listing.
Is MR. MARK RENARD FISHER (R.P.T.) still practicing?
MR. MARK RENARD FISHER (R.P.T.) is currently listed as active in the public NPI registry.
What is MR. MARK RENARD FISHER (R.P.T.)'s primary classification?
Physical Therapist is the headline specialty for MR. MARK RENARD FISHER (R.P.T.) here. Clinical services aligned with this taxonomy classification.
Where is MR. MARK RENARD FISHER (R.P.T.) based?
MR. MARK RENARD FISHER (R.P.T.) is tied to Woodland, California in the data we show; additional addresses may exist on the full record.
Why does MR. MARK RENARD FISHER (R.P.T.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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