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

Mark Tavera, PTA

Individual provider Physical Therapy Assistant · NPI 1255823894

Mark Tavera, PTA is a Physical Therapy Assistant in Burbank, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

101 S 1st St Ste 1800
Burbank, CA 91502-1959
Phone: (818) 558-7252
Fax: (818) 558-7312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA48496 (CA)

Record details

NPI number1255823894
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESMay 30, 2018
Mailing address8510 Balboa Blvd Ste 150, Northridge, CA 91325-5810

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