Reginald Atienza, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013132 Issued in MI

Practice address

21329 Bunker Dr
Macomb, MI 48042-4324

Phone

(586) 533-6658

NPI assigned

Apr 20, 2011

Last updated

Apr 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Reginald Atienza Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Neil King Physical Therapy, PC

  • Physical Therapist
  • Rochester Hills, MI
  • NPI 1275756942
  NPD (past)

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1699066092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21329 BUNKER DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424324",
            "telephone_number": "586-533-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21329 BUNKER DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424324",
            "telephone_number": "586-533-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "REGINALD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINALD",
            "last_name": "ATIENZA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ascension Medical Group Michigan (Shelby Physical Therapy)
• Ascension Medical Group Michigan (Henry Ford Semi Medical Group)
• Ascension Medical Group Michigan (Macomb Sleep Institute)
• Vanessa Maher Assaf
• Athletico LTD (Athletico Physical Therapy)
• Auburn Neurology and Sleep Associates PC (Tracey Morson MD)
• Linda Marie Audia, LMSW
• Michele Lynn Avery
• Ayla Home Care LLC
• Zain Azzo, M.D.

• Physical Therapist in Macomb, MI
• Providers in Macomb, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.