Jun Cesar Atienza, PT

Individual provider Active NPI Physical Therapist · Palatine, IL

NPI 1720121874 · NPPES record last updated Apr 16, 2018

Key facts

NPI
1720121874
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070012841 (IL)
Practice address
1770 N Hicks Rd
Palatine, IL 60074-2339
Phone
(847) 776-0106
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTD (2,187 clinicians)

Practice addresses (Care Compare)

1770 N Hicks Rd
Palatine, IL 60074-2339
Phone (847) 776-0106

407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100 (group)
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130301000401 IL Practitioner - Physical Therapist in Private Practice 5092960765 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
070012841ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist Current
since Jul 1, 2012
Accepting new patients
Athletico LTD Physical Therapist Current
since Jul 1, 2012
Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

1770 N Hicks Rd
Palatine, IL 60074
Phone (847) 776-0106

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

100 E Roosevelt Rd
Villa Park, IL 60181
Phone (630) 705-0060

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070012841 IL Yes

Addresses

Primary practice location

1770 N Hicks Rd
Palatine, IL 60074-2339

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200

Other practice location 1

8937 Grand Ave
River Grove, IL 60171-3603
Phone (708) 453-1354

Other providers in Palatine, IL

All providers in Palatine, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.