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

Individual provider Physical Therapist · NPI 1962287359

Mark Nicholas Ciccarello, PT, DPT is a Physical Therapist in Jacksonville, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
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

5539 Roosevelt Blvd
Jacksonville, FL 32244-2345
Phone: (904) 483-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4575 Us Highway 17, Fleming Island, FL 32003-4825 — (904) 637-0148

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40666 (FL)

Record details

NPI number1962287359
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

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