CARLO ATIENZA (DPT) – Physical Therapist, NPI 1376352609

CARLO ATIENZA (DPT) is a healthcare provider. based in Ewa beach, Hawaii. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-6056 (HI). The NPI Number for CARLO ATIENZA (DPT) is 1376352609

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
CARLO ATIENZA (DPT)
NPI
1376352609
Phone
(808) 312-8827
Address
91-214 KAUOHA WAY
Enumeration Date
2 January 2025
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8084509250
Graduation Year
2024 (2 years ago)
PAC ID
5799207825
Group Practice PAC ID
3072511864
Professional Enrollment ID
I20250319000003
Address ID
HI967014339AI98XXXSTXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

615 PHYSICAL THERAPIST IN PRIVATE PRACTICE in HI

Provider Addresses for CARLO ATIENZA (DPT)

  • 91-214 KAUOHA WAY

    EWA BEACH, HI 967064675

    Phone: (808) 312-8827

    Type: Mailing

  • 98-211 PALI MOMI ST STE 707

    AIEA, HI 967014339

    Phone: (808) 450-9250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250319000003IPhysical Therapist In Private PracticeHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96706)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072511864View full group profile
NameSpecialtyState
-HI
Physical Therapist In Private PracticeHI
-HI
-HI
-HI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

How do payers reference CARLO ATIENZA (DPT)?
For CARLO ATIENZA (DPT), use NPI 1376352609 as the unique 10-digit identifier.
Would CARLO ATIENZA (DPT) appear as active to a payer?
You can treat CARLO ATIENZA (DPT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with CARLO ATIENZA (DPT)?
CARLO ATIENZA (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Hawaii is CARLO ATIENZA (DPT) registered?
Use Ewa Beach, Hawaii as the headline location for CARLO ATIENZA (DPT) here.
Does CARLO ATIENZA (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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