MARK PAKULAT PT, DPT
NPI 1861711020
Physical Therapist - Neurology in San Diego, CA

Q: What is Mark Pakulat's NPI number?

The NPI number for Mark Pakulat is 1861711020. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Q: What is Mark Pakulat's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Pakulat was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2010Accepts Medicare Assignment

15004 INNOVATION DR, SAN DIEGO, CA 92128(760) 633-6035 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark Pakulat Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK PAKULAT PT, DPT (NPI 1861711020) is an individual neurology provider in San Diego, California, licensed in California (36753) and active in the NPI registry since May 2010. He maintains a secondary practice location in Carlsbad and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861711020

Entity TypeIndividualMale

Primary Taxonomy2251N0400X

Provider Legal NameMARK PAKULATCredential: PT, DPT

Location Address15004 INNOVATION DRSan Diego, CA 92128-3491

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 633-6035

Phone(760) 633-6035

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMay 26, 2010

Last NPPES UpdateApril 30, 2021

NPPES CertifiedApril 30, 2021

✔ NPI 1861711020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in CA · 36753

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

15004 INNOVATION DR, San Diego, CA 92128

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Secondary Practice Location 1

Location 16802 Briarwood DrCarlsbad, CA 92011-3924 · Phone (415) 310-4686

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Pakulat Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082013388

PECOS Enrollment IDI20210518002038

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

523 services97 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

489 services89 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

392 services99 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

229 services82 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

67 services66 patients

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARGARET ANN FULLER

Occupational Therapist (Physical Rehabilitation)