Mr Mark Documento, RPT in Port Saint Lucie, FL

Mr Mark Documento, RPT is a Physical Therapist based in Port Saint Lucie, Florida. Mr Mark Documento is licensed to practice in Florida (license number PT20821) and his current practice location is 266 Nw Peacock Blvd, Suite 2-204 Bldg. 2, Port Saint Lucie, Florida. He can be reached at his office (for appointments etc.) via phone at (772) 408-6630.

NPI number for Mr Mark Documento is 1316104292 and his current mailing address is Po Box 7666, Port Saint Lucie, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316104292.

Contact Information

	Mr Mark Documento, RPT
	266 Nw Peacock Blvd, Suite 2-204 Bldg. 2, Port Saint Lucie, FL 34986-2271
	(772) 408-6630
	(772) 408-6750

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Documento
Gender	Male
Speciality	Physical Therapist
Location	266 Nw Peacock Blvd, Port Saint Lucie, Florida
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1316104292
Provider Enumeration Date: 05/19/2008
Last Update Date: 04/09/2009

Medical Identifiers

Medical identifiers for Mr Mark Documento such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316104292	NPI	-	NPPES
BK828Z	Other	FL	PROVIDER TRANSACTION ACCESS NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT20821 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Documento is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Mark Documento, RPT Po Box 7666, Port Saint Lucie, FL 34985-7666 Ph: (772) 408-6630	Mr Mark Documento, RPT 266 Nw Peacock Blvd, Suite 2-204 Bldg. 2, Port Saint Lucie, FL 34986-2271 Ph: (772) 408-6630

Reviews and Comments

Physical Therapist in Port Saint Lucie, FL

Muhammad Syed Nooruddin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7993 Steeplechase Ct, Port Saint Lucie, FL 34986 Phone: 863-801-1925 Fax: 863-763-6619
Sunshine Therapies, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5367 Nw Rugby Dr, Port Saint Lucie, FL 34983 Phone: 772-216-3634
Parthiv Mouleshkumar Pathak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2328 Bella Vista Way, Port Saint Lucie, FL 34952 Phone: 732-713-4781
Joshua James Simons, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 519 Nw Lake Whitney Pl Ste 101, Port Saint Lucie, FL 34986 Phone: 772-621-9313 Fax: 772-621-9358
Miss Kathleen Sison Azcona, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11197 Sw Springtree Ter, Port Saint Lucie, FL 34987 Phone: 703-220-2476
Mr. Justin Lonn Spooner, L.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 621 Se Port St Lucie Blvd, Port Saint Lucie, FL 34984 Phone: 772-343-8000 Fax: 772-343-7999
Thomas R Fischer, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 441 Nw Prima Vista Blvd.,, Port Saint Lucie, FL 34983 Phone: 772-873-8980 Fax: 772-873-8981

Mr Mark Documento, RPT - Physical Therapist in Port Saint Lucie, FL