Organization Active NPI

Krystal L Reyes

  • Physical Therapist
  • Boise, ID
National Provider Identifier
1265132427
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KRYSTAL L REYES
Practice address
9351 W State St Ste 120
Boise, ID 83714-6718
Phone
(208) 398-3039
Fax
(208) 369-4195
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Krystal Reyes, PT, DPTNPI 1477936045
Title
Physical Therapist/Owner
Phone
(208) 757-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

9351 W State St Ste 120
Boise, ID 83714-6718

Mailing address

9351 W State St Ste 120
Boise, ID 83714-6718
Phone (208) 398-3039

Other names 1

  • Boise Balance and Vestibular Doing business as

National Provider Directory

National Provider Directory

Locations

9351 W State St
Ste 120
Garden City, ID 83714
Phone (208) 398-3039

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1265132427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 W STATE ST STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146718",
            "telephone_number": "208-398-3039",
            "fax_number": "208-369-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 W STATE ST STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146718",
            "telephone_number": "208-398-3039",
            "fax_number": "208-369-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL L REYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "208-757-8346",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Balance and Vestibular",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boise Balance and Vestibular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.