Active NPI
Kevin Eubanks, PT, DPT
- Physical Therapist
- Garden City, ID
National Provider Identifier
1568327328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-8602
- Practice address
- 9351 W State St
Garden City, ID 83714-6717 - Phone
- (208) 398-3039
- NPI assigned
- Dec 23, 2025
- Last updated
- Dec 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-8602 | ID | Primary |
Addresses
Primary practice location
9351 W State St
Garden City, ID 83714-6717
Mailing address
10099 W Fox Brush Dr
Boise, ID 83709-7430
Phone (208) 398-3039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10099 W Fox Brush Dr
Boise, ID 83709-7430
9351 W State St
Suite 120
Garden City, ID 83714-6718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-8602 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krystal L Reyes | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Boise, ID
- NPI 1477936045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1568327328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10099 W FOX BRUSH DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837097430",
"telephone_number": "208-398-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 W STATE ST",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "837146717",
"telephone_number": "208-398-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "KEVIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-23",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-8602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.