Anastasia Pearl Reyes, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9171465 Issued in ID

Practice address

2619 W Fairview Ave
Boise, ID 83702-6722

Phone

(208) 706-2676

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1215720438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LINDER RD APT O201",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164495",
            "telephone_number": "602-615-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026722",
            "telephone_number": "208-706-2676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Happy Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836878596",
            "country_code": "US",
            "telephone_number": "208-401-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANASTASIA",
        "middle_name": "PEARL",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "9171465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley R Reuter, NP
• Revelation Hearing, Inc (Revelation Hearing)
• Revive Counseling, LLC
• Revive Mental Wellness LLC
• Revolutionary Medicine of Idaho
• Krystal Reyes, P.T.
• Lorena Aguilar Reyes, OTR/L
• Nicolas Emmanuel Echon Reyes, PA
• Oscar Reyes, LMSW
• Shirley Reyes

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.