Individual provider Active NPI

Jennifer L Reitz, OTRL CHT

  • Occupational Therapist
  • Bryn Mawr, PA
National Provider Identifier
1033323191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC007342L Issued in PA
Practice address
101 Bryn Mawr Avenue
Suite 300
Bryn Mawr, PA 19010
Phone
(610) 525-1000
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC007342L PA Primary

Addresses

Primary practice location

101 Bryn Mawr Avenue
Suite 300
Bryn Mawr, PA 19010

Mailing address

1416 Witherspoon Dr
Downingtown, PA 19335-3562
Phone (610) 873-9092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150321000027 NC Practitioner - Occupational Therapist in Private Practice 4981766581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Hand to Shoulder Center PAGroup PAC ID 9931127099, 10 clinicians

Practice addresses (Care Compare)

3701 Wake Forest Rd
Raleigh, NC 27609-6832
Phone 9198723171205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC007342LPAMDOccupational Therapist
9457NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Hand to Shoulder Center PA CurrentSince Feb 4, 2015 Accepting new patients

Locations

3701 Wake Forest Rd
#100
Raleigh, NC 27609
Phone (919) 872-3171

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033323191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 WITHERSPOON DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353562",
            "telephone_number": "610-873-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRYN MAWR AVENUE",
            "address_2": "SUITE 300",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITZ",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007342L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.