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

Mark Pakulat, PT, DPT

Individual provider Neurology Physical Therapist · NPI 1861711020

Mark Pakulat, PT, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2010, 16 years ago. Practices with Scripps Health, a 1,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

15004 Innovation Dr
San Diego, CA 92128-3491
Phone: (760) 633-6035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6802 Briarwood Dr, Carlsbad, CA 92011-3924 — (415) 310-4686

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 36753 (CA)
Neurology Physical Therapist Taxonomy 2251N0400X

Record details

NPI number1861711020
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedMay 26, 2010
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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