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

Mark E Vaccaro, PT

Individual provider Physical Therapist · NPI 1780356360

Mark E Vaccaro, PT is a Physical Therapist in Private Practice in Waldwick, New Jersey. Qualified in 2021, 5 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

168 Franklin Tpke Ste 103B
Waldwick, NJ 07463-1835
Phone: (201) 992-0171
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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 40QA02039600 (NJ)

Record details

NPI number1780356360
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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