Krystal Reyes, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4064 Issued in ID

Practice address

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

Phone

(208) 398-3039

Fax

(208) 369-4195

NPI assigned

Jul 1, 2015

Last updated

May 22, 2024By 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

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Eubanks, PT, DPT

  • Physical Therapist
  • Garden City, ID
  • NPI 1568327328
  Medicare reassignment
• Alexa Lea Seefeld, DPT

  • Physical Therapist
  • Boise, ID
  • NPI 1538875406
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krystal L Reyes

  dba Boise Balance and Vestibular

  • Physical Therapist
  • Boise, ID
  • NPI 1265132427
  NPD Authorized official
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372
  NPD (past)
• Registered Physical Therapists LLC

  • Physical Therapist
  • Sandy, UT
  • NPI 1477582633
  NPD (past)

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1477936045",
    "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": {
        "last_name": "REYES",
        "first_name": "KRYSTAL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revelation Hearing, Inc (Revelation Hearing)
• Revive Counseling, LLC
• Revive Mental Wellness LLC
• Revolutionary Medicine of Idaho
• Anastasia Pearl Reyes, PT, DPT, CSCS
• Lorena Aguilar Reyes, OTR/L
• Nicolas Emmanuel Echon Reyes, PA
• Oscar Reyes, LMSW
• Shirley Reyes
• Adam C Reynolds, M.D.

• 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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.