Individual provider Active NPI

Mark Wagner Tulenko, MPT OCS CSCS

  • Physical Therapist
  • Charlottesville, VA
National Provider Identifier
1275594756
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.