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

Mr. Mark Anthony Pacchiano, MSPT, MTC, CSCS

Individual provider Physical Therapist · NPI 1104986223

Mr. Mark Anthony Pacchiano, MSPT, MTC, CSCS is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2000, 26 years ago. Practices with Core Physical Therapy and Sport Rehabilitation PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

259 Jefferson Blvd
Staten Island, NY 10312-3001
Phone: (718) 356-2919
Fax: (718) 356-6015
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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 021520-1 (NY)

Record details

NPI number1104986223
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT , MTC , CSCS
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Core Physical Therapy And Sport Rehabilitation Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Staten Island