Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Daitol, PT, DPT, SCS, CSCS

Individual provider Physical Therapist · NPI 1619410396

Mark Daitol, PT, DPT, SCS, CSCS is a Physical Therapist in Fort Bragg, North Carolina. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2817 Rock Merritt Ave Womack Army Medical Ctr
Fort Bragg, NC 28310-0001
Phone: (910) 907-8922
Fax: (910) 907-6069
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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 40QA01706300 (NJ)

Record details

NPI number1619410396
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , SCS , CSCS
Sole proprietorYes
NPI enumeratedNovember 29, 2016
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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