Mark Waller, PT
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2022
- Practice address
- 17470 Brookside Trace Ct, Tampa, FL 33647-6201
- Practice phone
- Call (813) 443-5042
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Legacy Healthcare Services INC
Therapy / rehab center · Tampa, Florida
Find Mark Waller's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Mark Waller is a physical therapist in Tampa, Florida
Mark Waller practices at Legacy Healthcare Services INC in Tampa, Florida.
Mark Waller's NPI, 1801525381, was assigned on June 9, 2022. Mark Waller holds Florida license 16250.
- NPI
- 1801525381NPI Registry (opens in a new tab)
- NPI enumeration date
- June 9, 2022
- NPI status
- Active
- Practice phone
- (813) 443-5042
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 55
- Medical school graduation
- 1997
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Doctors and Clinicians National Downloadable File (CMS)
Mark Waller practices at Legacy Healthcare Services INC in Tampa, Florida
Mark Waller's primary practice is Legacy Healthcare Services INC, at 17470 Brookside Trace Ct, Tampa, FL 33647-6201. The practice phone is (813) 443-5042.
- Legacy Healthcare Services INC17470 Brookside Trace Ct, Tampa, FL 33647-6201Phone(813) 443-5042
Source: Doctors and Clinicians National Downloadable File (CMS)
Mark Waller is affiliated with 1 site of care and 1 medical group
Mark Waller's primary practice is Legacy Healthcare Services INC in Tampa, Florida. The medical group on file is Legacy Healthcare Services.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Mark Waller's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Mark Waller practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Legacy Healthcare Services INC | Available with a free account |
Source: Dmand AI Technology Install Data
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Mark Waller is one of 5,796 physical therapists in Florida
Physical therapist is Mark Waller's primary specialty in the NPI Registry, under taxonomy code 225100000X. Mark Waller is licensed in Florida.
Specialties and state licenses
- Physical therapist, FloridaPrimary
Physical therapists near Mark Waller
Counts of physical therapists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Mark Waller's patients have a median age of 86
Across all payers, Dmand AI patient panel data puts Mark Waller's median patient age at 86, with 100% women.
Mark Waller's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 86
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
Sources for Mark Waller's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Mark Waller
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Mark Waller's NPI number?
Mark Waller's NPI number is 1801525381. It was assigned on June 9, 2022, and it is active in the NPI Registry.
What does Mark Waller specialize in?
Mark Waller is a physical therapist in Tampa, Florida. The primary specialty in the NPI Registry is Physical Therapist (taxonomy code 225100000X).
Where does Mark Waller practice?
Mark Waller practices at 17470 Brookside Trace Ct, Tampa, FL 33647-6201. Mark Waller's primary practice is Legacy Healthcare Services INC in Tampa, Florida.
What is Mark Waller's office phone number?
The practice phone on file for Mark Waller is (813) 443-5042.
What is Mark Waller's medical license number?
Mark Waller holds Florida license 16250.
What medical group is Mark Waller part of?
Mark Waller is linked to Legacy Healthcare Services.
How long has Mark Waller been practicing?
Mark Waller graduated from medical school in 1997, 29 years ago.
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