Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK DOCUMENTO, RPT
ActiveMR. MARK DOCUMENTO, RPT is a Physical Therapy Assistant healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1316104292 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PORT SAINT LUCIE, FL
Registration Details
- NPI Number
- 1316104292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2008 (18.251624181919 yrs)
- Last Updated
- Apr 9, 2009
- License
-
PT20821 (FL)
Practice Information
- Address
-
266 NW PEACOCK BLVDSUITE 2-204 BLDG. 2PORT SAINT LUCIE, FL, 349862271Browse FL providers · Browse ZIP 34986
- Phone
- 7724086630
- Fax
- 7724086750
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PORT SAINT LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. HENRY ALLEN GOCKENBACH | P.T., A.T.C | 1881631653 |
| MR. ROBERT A HENSLEY | — | 1407892979 |
| MRS. MARY B HENSLEY | — | 1427086529 |
| MR. KAHARI TAMON WOOD | MSPT | 1952333502 |
| JOSEPH DUAH | MS, PT | 1295875813 |
| THOMAS R FISCHER | P.T. | 1134269236 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.