Individual provider Active NPI

Jeffson Tan Atienza

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1881468064
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1385314 Issued in TX
Practice address
9291 Garland Rd Ste 110
Dallas, TX 75218-2850
Phone
(972) 892-4541
NPI assigned
Nov 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308354 CA
Physical Therapist 225100000X AZ
Physical Therapist 225100000X 1385314 TX Primary

Addresses

Primary practice location

9291 Garland Rd Ste 110
Dallas, TX 75218-2850

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

16811 N Litchfield Rd Ste 101
Surprise, AZ 85374-7062
Phone (602) 313-4045

Other practice location 2

8570 Katy Fwy Ste 114
Houston, TX 77024-1832
Phone (832) 831-4188

Other practice location 3

2268 N Lake Shore Dr Ste 106
Rockwall, TX 75087-0280
Phone (972) 979-6577

Other practice location 4

5901 Christie Ave Ste 305
Emeryville, CA 94608-1934
Phone (510) 529-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240307001091 TX Practitioner - Physical Therapist in Private Practice 8628414182 Reassigns benefits to 2 organizations
I20250219002332 AZ Practitioner - Physical Therapist in Private Practice 8628414182 Reassigns benefits to 1 organization
I20250915000136 CA Practitioner - Physical Therapist in Private Practice 8628414182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

2268 N Lakeshore Dr
Suite 106
Rockwall, TX 75087-0280
Phone (214) 771-7960

5901 Christie Ave
Suite 305
Emeryville, CA 94608-1934
Phone (510) 529-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Feb 3, 2024 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 24, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 28, 2025 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Jul 22, 2025 Accepting new patients
Revolve Physical Therapy LP Physical Therapist PastSince Nov 1, 2023 Accepting new patients
Ideal Rehabilitation LLC PastSince Jan 28, 2025 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

16811 N Litchfield Rd
Ste 101
Surprise, AZ 85374
Phone (602) 313-4045

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211

5901 Christie Ave
Ste 305
Emeryville, CA 94608
Phone (510) 529-7550

1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

9291 Garland Rd
Ste 110
Dallas, TX 75218
Phone (972) 892-4541

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

2268 N Lake Shore Dr
Ste 106
Rockwall, TX 75087
Phone (214) 771-7960

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 9

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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1881468064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 GARLAND RD STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182850",
            "telephone_number": "972-892-4541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16811 N Litchfield Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747062",
            "country_code": "US",
            "telephone_number": "602-313-4045",
            "fax_number": "623-322-0664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8570 Katy Fwy Ste 114",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241832",
            "country_code": "US",
            "telephone_number": "832-831-4188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2268 N Lake Shore Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750870280",
            "country_code": "US",
            "telephone_number": "972-979-6577",
            "fax_number": "972-979-6951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 Christie Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "946081934",
            "country_code": "US",
            "telephone_number": "510-529-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "JEFFSON",
        "middle_name": "TAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308354",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1385314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.