Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Ballesteros Reyes

Individual provider Physical Therapy Assistant · NPI 1134599392

Lisa Ballesteros Reyes is a Physical Therapy Assistant in Fort Carson, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2015
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Practice location Address checks out

1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Phone: (719) 526-7120
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0013412 (CO)

Record details

NPI number1134599392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2015
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024
Mailing address1650 Cochrane Cir, Fort Carson, CO 80913-4613

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