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

Mark Luck Lito Villa Cubillas, RPT

Individual provider Physical Therapist · NPI 1083388581

Mark Luck Lito Villa Cubillas, RPT is a Physical Therapist in Private Practice in Sonoma, California. Qualified in 2015, 11 years ago. Practices with San Ramon Valley Physical Therapy Inc, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1250 Broadway
Sonoma, CA 95476-7500
Phone: (707) 938-8406
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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 294596 (CA)

Record details

NPI number1083388581
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice San Ramon Valley Physical Therapy Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sonoma