Individual provider Active NPI

Michael Elliot Halk, PT, DPT, ATC

  • Orthopedic Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1326605098
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
309118 Issued in CA
Practice address
2719 Loker Ave W Ste a
Carlsbad, CA 92010-6679
Phone
(760) 918-9200
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 309118 CA Primary

Addresses

Primary practice location

2719 Loker Ave W Ste a
Carlsbad, CA 92010-6679

Mailing address

1931 Tanager St
Ventura, CA 93003-0246
Phone (805) 651-0943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116002516 CA Practitioner - Physical Therapist in Private Practice 7214414531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1084 N El Camino Real
B 351
Encinitas, CA 92024-1334

1931 Tanager St
Ventura, CA 93003-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309118CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function for Life Physical Therapy, Inc. Orthopedic CurrentSince Jan 5, 2026 Accepting new patients

Locations

2719 Loker Ave W
Ste A
Carlsbad, CA 92010
Phone (760) 918-9200

1084 N El Camino Real
#B351
Encinitas, CA 92024

100 E San Marcos Blvd
Ste 130
San Marcos, CA 92069
Phone (760) 798-0150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1326605098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 TANAGER ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030246",
            "telephone_number": "805-651-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 LOKER AVE W STE A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106679",
            "telephone_number": "760-918-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALK",
        "first_name": "MICHAEL",
        "middle_name": "ELLIOT",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "309118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.