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

Mark Francis Pangilinan, DPT

Individual provider Physical Therapist · NPI 1962199059

Mark Francis Pangilinan, DPT is a Physical Therapist in Private Practice in Lake Wales, Florida. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Florida and New York.

Years since qualifying
4
Licensed in
FL, NY
In the registry since
2023
Specialties on file
2
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

425 S 11th St Ste 3
Lake Wales, FL 33853-4239
Phone: (863) 676-0174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4701 Queens Blvd, Sunnyside, NY 11104-1660 — (191) 731-0277

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 39932 (FL)
Physical Therapist Taxonomy 225100000X · Licence 055558 (NY)

Record details

NPI number1962199059
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 19, 2023
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lake Wales