Individual provider Active NPI

Carlos Reyes, DPT

  • Sports Physical Therapist
  • Austin, TX
National Provider Identifier
1013439413
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
1299438 Issued in TX
Practice address
4111 Marathon Blvd Ste 250
Austin, TX 78756-3755
Phone
(512) 297-3851
Fax
(512) 778-8860
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1299438 TX
Sports Physical Therapist 2251S0007X 1299438 TX Primary

Addresses

Primary practice location

4111 Marathon Blvd Ste 250
Austin, TX 78756-3755

Mailing address

4111 Marathon Blvd Ste 250
Austin, TX 78756-3755
Phone (512) 297-3851

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address creyes@reyesperformanceinstitute.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130000734 TX Practitioner - Physical Therapist in Private Practice 1557628591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reyes Performance Institute CurrentSince Feb 18, 2024 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Nov 10, 2017 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Nov 10, 2017 Accepting new patients

Locations

4111 Marathon Blvd
Ste 250
Austin, TX 78756
Phone (512) 297-3851

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

4300 Westbank Dr
Ste 210
West Lake Hills, TX 78746
Phone (512) 306-8071

Organizations & group practices 3

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1013439413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 MARATHON BLVD STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563755",
            "telephone_number": "512-297-3851",
            "fax_number": "512-778-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 MARATHON BLVD STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563755",
            "telephone_number": "512-297-3851",
            "fax_number": "512-778-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CARLOS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1299438",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1299438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "creyes@reyesperformanceinstitute.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4111 Marathon Blvd Ste 250",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787563755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.