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

Mark Tkaczuk

Individual provider Physical Therapist · NPI 1740682269

Mark Tkaczuk is a Physical Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

5478 Wilshire Blvd Ste 208
Los Angeles, CA 90036-4225
Phone: (323) 936-7525
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 41686 (CA)

Record details

NPI number1740682269
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2014
Last updated in NPPESSeptember 16, 2014

Other providers in Los Angeles