Mark Pakulat, PT, DPT
Mark Pakulat, PT, DPT is a Neurology Physical Therapist in San Diego, CA, registered under NPI 1861711020. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 15004 INNOVATION DR, San Diego, CA 92128. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 36753 | CA | Neurology Physical Therapist primary |
This provider holds licence 36753 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 4082013388
- Enrollment ID
- I20210518002038
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neurology covers
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. NUCC Health Care Provider Taxonomy, code 2251N0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2251N0400X | Neurology Physical Therapist Neurology | 36753 | CA | primary |
| 2251N0400X | Neurology Physical Therapist Neurology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1861711020 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 26, 2010 |
| Last updated | Apr 30, 2021 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PT, DPT |
| Practice address |
15004 INNOVATION DR San Diego, CA 92128 (760) 633-6035 |
| Mailing address |
10790 RANCHO BERNARDO RD San Diego, CA 92127 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 7 | 1 | 1 | 0 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 5 | 1 | 2 | 0 | 4 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.