Active NPI
Mark Wagner Tulenko, MPT OCS CSCS
- Physical Therapist
- Charlottesville, VA
National Provider Identifier
1275594756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305004631
- Practice address
- 1410 Incarnation Dr
Atlantic Sports and Rehab Ste 101
Charlottesville, VA 22901 - Phone
- (434) 978-4915
- Fax
- (434) 978-7194
- NPI assigned
- Apr 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004631 | Primary |
Addresses
Primary practice location
1410 Incarnation Dr
Atlantic Sports and Rehab Ste 101
Charlottesville, VA 22901
Mailing address
1410 Incarnation Dr
Atlantic Sports and Rehab Ste 101
Charlottesville, VA 22901
Phone (434) 978-4915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275594756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 INCARNATION DR",
"address_2": "ATLANTIC SPORTS AND REHAB STE 101",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22901",
"telephone_number": "434-978-4915",
"fax_number": "434-978-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 INCARNATION DR",
"address_2": "ATLANTIC SPORTS AND REHAB STE 101",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22901",
"telephone_number": "434-978-4915",
"fax_number": "434-978-7194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULENKO",
"first_name": "MARK",
"middle_name": "WAGNER",
"name_prefix": "Mr.",
"credential": "MPT OCS CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "2305004631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.