LUIS ENRIQUE REYES MENDIETA – Physical Therapist, NPI 1033895081

LUIS ENRIQUE REYES MENDIETA is a healthcare provider. based in Soldotna, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 210543 (AK). The NPI Number for LUIS ENRIQUE REYES MENDIETA is 1033895081

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
LUIS ENRIQUE REYES MENDIETA
NPI
1033895081
Phone
(907) 781-3227
Address
35249 KENAI SPUR HWY
Enumeration Date
26 June 2023
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074200836
Graduation Year
2023 (3 years ago)
PAC ID
9931561115
Group Practice PAC ID
6507146412
Professional Enrollment ID
I20230821001322
Address ID
AK996697673SO35249HWYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

458 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for LUIS ENRIQUE REYES MENDIETA

  • 35249 KENAI SPUR HWY

    SOLDOTNA, AK 99669

    Phone: (907) 781-3227

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230821001322IPhysical Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22430$0
97530Therapy procedure using functional activities19520$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18023$0
97140Therapy procedure using manual technique, each 15 minutes5311$0
View full utilization report →

Insurance plans in this area (ZIP 99669)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507146412View full group profile
NameSpecialtyState
-OR
-AK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeID
-OH

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Frequently asked questions

How do I look up LUIS ENRIQUE REYES MENDIETA by NPI?
Use NPI 1033895081 when you need to reference LUIS ENRIQUE REYES MENDIETA in forms, claims, or directories.
Is LUIS ENRIQUE REYES MENDIETA active in the national directory?
LUIS ENRIQUE REYES MENDIETA's public NPI profile is in an active state.
Does LUIS ENRIQUE REYES MENDIETA list a primary specialty?
If you are matching referrals, note Physical Therapist for LUIS ENRIQUE REYES MENDIETA. Clinical services aligned with this taxonomy classification.
Where is LUIS ENRIQUE REYES MENDIETA's primary listing?
We display Soldotna, Alaska because that is what the record indicates for LUIS ENRIQUE REYES MENDIETA.
What if Soldotna, Alaska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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