Provider Demographics
NPI:1902661515
Name:REYES PERFORMANCE INSTITUTE
Entity Type:Organization
Organization Name:REYES PERFORMANCE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, SCS, MS
Authorized Official - Phone:512-297-3851
Mailing Address - Street 1:4111 MARATHON BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3755
Mailing Address - Country:US
Mailing Address - Phone:512-297-3851
Mailing Address - Fax:512-778-8860
Practice Address - Street 1:4111 MARATHON BLVD STE 250
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3755
Practice Address - Country:US
Practice Address - Phone:512-297-3851
Practice Address - Fax:512-778-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy