MARK DAVID FAY (P.T.) – Physical Therapist, NPI 1750320172
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for MARK DAVID FAY (P.T.)
465 TOWN PLAZA AVE
SUITE B
PONTE VEDRA, FL 32081
Phone: (904) 222-3780
Type: Mailing
465 TOWN PLAZA AVE STE B
PONTE VEDRA, FL 320815190
Phone: (904) 222-3780
Fax: (904) 306-5772
Type: Location
Surgical Specialty Center of Baton Rouge, 8080, Bluebonnet Boulevard, South Highlands, East Baton Rouge Parish, Louisiana, 70810, United States
SUITE 110
BATON ROUGE, LA 708107827
Phone: (225) 408-7990
Fax: (225) 408-7989
Type: Mailing
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: 2010-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100927001366 | I | Physical Therapist In Private Practice | LA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97140 | Therapy procedure using manual technique, each 15 minutes | 411 | 19 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 380 | 23 | $0 |
| 97530 | Therapy procedure using functional activities | 251 | 18 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32081)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | LA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 572 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | LA | |
| Physical Therapist In Private Practice | LA | |
| - | NC | |
| Physical Therapist In Private Practice | LA | |
| Physical Therapist In Private Practice | LA | |
| - | LA | |
| - | LA | |
| - | LA | |
| Physical Therapist In Private Practice | LA | |
| Physical Therapist In Private Practice | LA |
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