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

Mark J Coglianese, MPT

Individual provider Physical Therapist · NPI 1912912791

Mark J Coglianese, MPT is a Physical Therapist in Private Practice in Rexburg, Idaho. Qualified in 1999, 27 years ago. Practices with Spine and Sport Pysical Therapy PC, a 4-clinician group. Licensed in Idaho and Nevada.

Years since qualifying
27
Licensed in
ID, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

217 N 2nd E
Rexburg, ID 83440-1621
Phone: (208) 359-6127
Fax: (208) 359-6127
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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 PT-2916 (ID)
Physical Therapist Taxonomy 225100000X · Licence 1375 (NV)

Record details

NPI number1912912791
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Spine And Sport Pysical Therapy Pc — 4 clinicians
Accepts Medicare assignment Not indicated

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