Active NPI
Krystal L Reyes
- Physical Therapist
- Boise, ID
National Provider Identifier
1265132427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Reyes, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Boise, ID
- NPI 1477936045
-
- Physical Therapist
- Garden City, ID
- NPI 1568327328
-
- Physical Therapist
- Boise, ID
- NPI 1538875406
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.