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

Mark Pasquariello, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1275108193

Mark Pasquariello, PTA is a Physical Medicine & Rehabilitation Physician in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4606 Clyde Morris Blvd Ste 1D
Port Orange, FL 32129-7453
Phone: (386) 492-2986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 30840 (FL)

Record details

NPI number1275108193
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address4606 Clyde Morris Blvd Ste 1d, Port Orange, FL 32129-7453

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