Individual provider Active NPI

Jenna Danzig Reiter

  • Speech-Language Pathologist
  • Annandale, VA
National Provider Identifier
1932601358
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202008201 Issued in VA
Practice address
7617 Little River Tpke Ste 100
Annandale, VA 22003-2603
Phone
(703) 639-0950
NPI assigned
Mar 1, 2018
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30003965 NC
Speech-Language Pathologist 235Z00000X 2202008201 VA Primary

Addresses

Primary practice location

7617 Little River Tpke Ste 100
Annandale, VA 22003-2603

Mailing address

8644 Dellway LN
Vienna, VA 22180-7066
Phone (540) 336-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210723000618 DC Practitioner - Qualified Speech Language Pathologist 5799188041 Reassigns benefits to 1 organization
I20250530002656 VA Practitioner - Qualified Speech Language Pathologist 5799188041 Reassigns benefits to 1 organization
I20250604001479 NC Practitioner - Qualified Speech Language Pathologist 5799188041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

2530 Meridian Pkwy
Suite 300
Durham, NC 27713-5273
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jul 21, 2025 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jul 21, 2025 Accepting new patients
Body Mechanix and Beyond LLC CurrentSince Mar 17, 2024 Accepting new patients
Body Kinetics Rehab LLC. Speech-Language Pathologist CurrentSince Apr 27, 2021 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

7617 Little River Tpke
Ste 100
Annandale, VA 22003
Phone (703) 639-0950

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1932601358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8644 DELLWAY LN",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807066",
            "telephone_number": "540-336-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 LITTLE RIVER TPKE STE 100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032603",
            "telephone_number": "703-639-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "JENNA",
        "middle_name": "DANZIG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003965",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.