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

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

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