Whitney Anne Reitz, LMT, CD

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019017251 Issued in VA

Practice address

4030 Pickstone Dr
Fairfax, VA 22032-1344

Phone

(240) 988-6302

NPI assigned

Nov 20, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1952904971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 PICKSTONE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321344",
            "telephone_number": "240-988-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 PICKSTONE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321344",
            "telephone_number": "240-988-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITZ",
        "first_name": "WHITNEY",
        "middle_name": "ANNE",
        "credential": "LMT, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IL",
            "license": "13468",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019017251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Fairfax",
            "affiliation": "N",
            "address_1": "4030 Pickstone Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220321344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Reilly, MA CCC-SLP
• Valerie Reilly, MS, CF-SLP
• Pamela Sharon Rein, MA
• Annette Reiner, ED.S., NCSP
• Rebecca Reitwiesner
• Laura R Rejent, PA-C
• Alison Relat, ND
• Elizabeth Suzanne Rellis, CPNP
• Remedium Pharmacy, LLC
• Jami Alison Remien, PMHNP -BC, PNP

• Massage Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.