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

Luis Enrique Reyes Mendieta

Individual provider Physical Therapist · NPI 1033895081

Luis Enrique Reyes Mendieta is a Physical Therapist in Private Practice in Soldotna, Alaska. Qualified in 2023, 3 years ago. Practices with Revolution Sport and Spine Therapy LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
3
Licensed in
AK
In the registry since
2023
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Practice location Address checks out

35249 Kenai Spur Hwy
Soldotna, AK 99669
Phone: (907) 781-3227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 210543 (AK)

Record details

NPI number1033895081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Revolution Sport And Spine Therapy Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Soldotna