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

Dr. Mark Robert Cristiano, DPT

Individual provider Physical Therapist · NPI 1154877058

Dr. Mark Robert Cristiano, DPT is a Physical Therapist in Private Practice in West Orange, New Jersey. Qualified in 2016, 10 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

622 Eagle Rock Ave
West Orange, NJ 07052-2994
Phone: (973) 669-0078
Fax: (973) 669-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01679300 (NJ)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 40QA01679300 (NJ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 40QA01679300 (NJ)

Record details

NPI number1154877058
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 30, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jag-One Physical Therapy Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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