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

Marc A Wyckoff

Individual provider Physical Therapist · NPI 1639651870

Marc A Wyckoff is a Physical Therapist in Orlando, Florida. Works from 2 locations. Licensed in Florida, Illinois and Texas.

Licensed in
FL, IL, TX
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

4780 N Orange Blossom Trl
Orlando, FL 32810
Phone: (407) 206-3326
Fax: (407) 206-3316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4780 N Orange Blossom Trl, Orlando, FL 32810 — (407) 206-3326

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT34018 (FL)
Physical Therapist Taxonomy 225100000X · Licence 1311413 (TX)
Physical Therapist Taxonomy 225100000X · Licence 070008229 (IL)

Record details

NPI number1639651870
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 4, 2018
Last updated in NPPESAugust 15, 2019
Mailing address4780 N Orange Blossom Trl, Orlando, FL 32810-1601

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