Individual provider Active NPI

Jurizon Atienza

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1932537578
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070019847 Issued in IL
Practice address
306 N Larkin Ave
Joliet, IL 60435-6698
Phone
(815) 744-5560
NPI assigned
Oct 16, 2013
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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 070019847 IL Primary

Addresses

Primary practice location

306 N Larkin Ave
Joliet, IL 60435-6698

Mailing address

306 N Larkin Ave
Joliet, IL 60435-6698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170217000025 IL Practitioner - Physical Therapist in Private Practice 2466735428 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home by Enhance Therapies LLCGroup PAC ID 4183033210, 44 clinicians

Practice addresses (Care Compare)

310 Banbury Rd
North Aurora, IL 60542-1260
Phone (732) 994-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070019847ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Jun 9, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Sep 19, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750

310 Banbury Rd
North Aurora, IL 60542
Phone (630) 892-7627

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

400 Route 70
Lakewood, NJ 08701
Phone (440) 263-9228

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1932537578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356698",
            "telephone_number": "815-744-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "JURIZON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.