Active NPI
Peter Reitzes, MA, CCC-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1275475295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9412
- Practice address
- 808 Bacon St
Durham, NC 27703-5006 - Phone
- (919) 560-2000
- NPI assigned
- Apr 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9412 | NC | Primary |
Addresses
Primary practice location
808 Bacon St
Durham, NC 27703-5006
Mailing address
2005 Pathway Dr
Chapel Hill, NC 27516-7711
Phone (919) 475-1529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9412 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1275475295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 PATHWAY DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275167711",
"telephone_number": "919-475-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 BACON ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277035006",
"telephone_number": "919-560-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITZES",
"first_name": "PETER",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "9412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.