MR. MARK DOCUMENTO RPT
NPI 1316104292
Physical Therapist in Port Saint Lucie, FL

Active since May 19, 2008
266 NW PEACOCK BLVD, SUITE 2-204 BLDG. 2, PORT SAINT LUCIE, FL 34986(772) 408-6630(772) 408-6750 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Mark Documento Rpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK DOCUMENTO RPT (NPI 1316104292) is an individual physical therapist in Port Saint Lucie, Florida, licensed in Florida (PT20821) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1316104292
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. MARK DOCUMENTOCredential: RPT
Location Address266 NW PEACOCK BLVD, SUITE 2-204 BLDG. 2Port Saint Lucie, FL 34986-2271
Mailing AddressPo Box 7666Port Saint Lucie, FL 34985-7666 · (772) 408-6630 · Fax (772) 408-6750
Fax(772) 408-6750
Sole ProprietorNo
Enumeration DateMay 19, 2008
Last NPPES UpdateApril 9, 2009
NPI 1316104292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in FL · PT20821
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
266 NW PEACOCK BLVD, Port Saint Lucie, FL 34986

Other Identifiers 1

OtherBK828ZFL · Provider Transaction Access Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
266 NW PEACOCK BLVD, BUILDING 2 SUITE 2-204
PORT SAINT LUCIE, FL 34986
Dentist (Endodontics)
266 NW PEACOCK BLVD, SUITE 103
PORT SAINT LUCIE, FL 34986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Documento's NPI number?

The NPI number for Mark Documento is 1316104292. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Mark Documento located?

Mark Documento practices at 266 NW Peacock Blvd Suite 2-204 Bldg. 2, Port Saint Lucie, FL 34986. The listed phone number is (772) 408-6630.

What is Mark Documento's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Mark Documento was last updated on April 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.