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

Mark Alan Wanner, DPT

Individual provider Physical Therapist · NPI 1992680532

Mark Alan Wanner, DPT is a Physical Therapist in Private Practice in Palm Coast, Florida. Qualified in 2025, 1 year ago. Practices with Coastal Rehab and Sports Medicine, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

360 Palm Coast Pkwy NE
Palm Coast, FL 32137-3805
Phone: (386) 446-4101
Fax: (386) 447-2161
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT43131 (FL)

Record details

NPI number1992680532
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address360 Palm Coast Pkwy Ne, Palm Coast, FL 32137-3805

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Coastal Rehab And Sports Medicine — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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