MARK MAKO (P.T., O.C.S.) – Physical Therapist, NPI 1013961275

MARK MAKO (P.T., O.C.S.) is a healthcare provider. based in Simi valley, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T., O.C.S.. They hold a License No. PT 15347 (CA). The NPI Number for MARK MAKO (P.T., O.C.S.) is 1013961275

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK MAKO (P.T., O.C.S.)
NPI
1013961275
Phone
(805) 584-0001
Address
2585 COCHRAN ST
Enumeration Date
20 May 2006
Last Update Date
20 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055840001
Graduation Year
1988 (38 years ago)
PAC ID
3274542667
Group Practice PAC ID
3072575836
Professional Enrollment ID
I20120405000035
Address ID
CA930653525SI1922XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MARK MAKO (P.T., O.C.S.)

  • The Junkyard Cafe, 2585, Cochran Street, Simi Valley, Ventura County, California, 93065, United States

    SUITE A

    SIMI VALLEY, CA 930652602

    Phone: (805) 584-0001

    Fax: (805) 527-9135

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120405000035IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,578115$0
97140Therapy procedure using manual technique, each 15 minutes1,722111$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care72665$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes34920$0
97162Evaluation for physical therapy, typically 30 minutes8272$0
View full utilization report →

Insurance plans in this area (ZIP 93065)

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Provider's Procedures

MARK MAKO (P.T., O.C.S.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes97670

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072575836View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA
-CA

Reviews

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Frequently asked questions

Does MARK MAKO (P.T., O.C.S.) have a public NPI I can cite?
Public records show MARK MAKO (P.T., O.C.S.) under NPI 1013961275.
Should I treat MARK MAKO (P.T., O.C.S.) as an active provider?
Patients and plans typically see MARK MAKO (P.T., O.C.S.) as active in the national extract.
What type of care does MARK MAKO (P.T., O.C.S.) provide?
MARK MAKO (P.T., O.C.S.)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MARK MAKO (P.T., O.C.S.) in Simi Valley, California?
For routing, start with Simi Valley, California for MARK MAKO (P.T., O.C.S.), then verify phone and hours locally.
Can I export MARK MAKO (P.T., O.C.S.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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