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

Mark Waller, PT

Individual provider Physical Therapist · NPI 1801525381

Mark Waller, PT is a Physical Therapist in Lehigh Acres, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
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

11742 Eros Rd
Lehigh Acres, FL 33971-3759
Phone: (239) 671-8962
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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 16250 (FL)

Record details

NPI number1801525381
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address11742 Eros Rd, Lehigh Acres, FL 33971-3759

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