Individual provider Active NPI

Jason Tia Atienza, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
National Provider Identifier
1639103609
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME 116489 Issued in FL
Practice address
32 W Gore St
5TH Floor
Orlando, FL 32806-1134
Phone
(209) 566-3292
Fax
(321) 943-6658
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A86516 CA
Physical Medicine & Rehabilitation Physician 208100000X ME 116489 FL Primary

Addresses

Primary practice location

32 W Gore St
5TH Floor
Orlando, FL 32806-1134

Mailing address

32 W Gore St
5TH Floor
Orlando, FL 32806-1134
Phone (209) 566-3292

Other identifiers 2

IdentifierTypeStateIssuer
ME116489OtherFLMEDICAL LICENSE
009173800MedicaidFL

Other names 1

  • Wilfred Jason Tia Atienza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130802000595 FL Practitioner - Physical Medicine and Rehabilitation 5496753519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
George Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

32 W Gore St
Orlando, FL 32806-1134
Phone (321) 841-3820

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Regional Rehab Institute Inpatient rehabilitation facility, Orlando, FL, CCN 10T006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86516CAMDPhysical Medicine & Rehabilitation Physician
ME 116489FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2015 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jun 22, 2013 Accepting new patients
Atienza Physician Services LLC Physical Medicine & Rehabilitation CurrentSince Mar 21, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2015 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Rhonda C Williams, M.D.Inc. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

2901 State Road 50
Clermont, FL 34711
Phone (689) 946-1000

1820 E Silver Star Rd
Ocoee, FL 34761
Phone (321) 999-9601

405 Mickleton Loop
Ocoee, FL 34761

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

32 W Gore St
Ste 5FL
Orlando, FL 32806
Phone (407) 423-7172

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jatienza27309@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1639103609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W GORE ST",
            "address_2": "5TH FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061134",
            "telephone_number": "209-566-3292",
            "fax_number": "321-943-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W GORE ST",
            "address_2": "5TH FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061134",
            "telephone_number": "209-566-3292",
            "fax_number": "321-943-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "JASON",
        "middle_name": "TIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A86516",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME 116489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME116489",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009173800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILFRED JASON",
            "last_name": "ATIENZA",
            "middle_name": "TIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.