Individual provider Active NPI

Carlo Atienza, DPT

  • Physical Therapist
  • Aiea, HI
National Provider Identifier
1376352609
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6056 Issued in HI
Practice address
98-211 Pali Momi St Ste 707
Aiea, HI 96701-4339
Phone
(808) 450-9250
NPI assigned
Jan 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 PT-6056 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St Ste 707
Aiea, HI 96701-4339

Mailing address

91-214 Kauoha Way
Ewa Beach, HI 96706-4675
Phone (808) 312-8827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319000003 HI Practitioner - Physical Therapist in Private Practice 5799207825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosport Hawaii, LLCGroup PAC ID 5890872634, 25 clinicians
Central Oahu Physical Therapy Specialists LLCGroup PAC ID 3072511864, 7 clinicians

Practice addresses (Care Compare)

5722 Kalanianaole Hwy
Honolulu, HI 96821-2388
Phone (808) 373-3555

98 -211 Pali Momi St
Suite 707
Aiea, HI 96701-4339
Phone (808) 450-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Hawaii, LLC CurrentSince Dec 1, 2025 Accepting new patients
Orthosport Physical Therapy CurrentSince Dec 1, 2025 Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Central Oahu Physical Therapy Specialists LLC Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients

Locations

98-211 Pali Momi St
Ste 707
Aiea, HI 96701
Phone (808) 382-3388

745 Fort St
Ste 105
Honolulu, HI 96813
Phone (808) 373-3555

5722 Kalanianaole Hwy
Honolulu, HI 96821
Phone (808) 373-1114

916A Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-6400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1376352609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-214 KAUOHA WAY",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064675",
            "telephone_number": "808-312-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 707",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014339",
            "telephone_number": "808-450-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "CARLO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-6056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.