Mark Tyler Bautista, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298547 Issued in CA

Practice address

334 Via Vera Cruz Ste 252
San Marcos, CA 92078-2642

Phone

(858) 533-0736

NPI assigned

Jul 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Balanced Beast Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • San Marcos, CA
  • NPI 1831933175
  NPD Authorized official

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1700495108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 WOODS DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ STE 252",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782642",
            "telephone_number": "858-533-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MARK",
        "middle_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Kay Bates
• Steven Rar Bates, MD
• Helena Batiste
• Gabriella Baumer
• Idalia Bautista Ramos
• Mia Bautista
• Meenu Bawa, M.D
• Beatriz Vidales DDS Orthodontics, Inc
• Robert L Beavers, DMD
• Fernando Becerra Jr.

• Physical Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.