Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Christopher Balzotti

Individual provider Physical Therapist · NPI 1225684038

Dr. Mark Christopher Balzotti is a Physical Therapist in Private Practice in Boonton, New Jersey. Qualified in 2019, 7 years ago. Practices with Four 3 Performance Laboratory Corp, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019

Practice location Address checks out

315 Wootton St # GH
Boonton, NJ 07005-1939
Phone: (973) 917-3088
Fax: (973) 917-3089
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01873500 (NJ)

Record details

NPI number1225684038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESAugust 16, 2019
Mailing address315 Wootton St # Gh, Boonton, NJ 07005-1939

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Four 3 Performance Laboratory Corp — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boonton