Active NPI
Whitney Anne Reitz, LMT, CD
- Massage Therapist
- Fairfax, VA
National Provider Identifier
1952904971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019017251
- Practice address
- 4030 Pickstone Dr
Fairfax, VA 22032-1344 - Phone
- (240) 988-6302
- NPI assigned
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 13468 | IL | |
| Massage Therapist | 225700000X | 0019017251 | VA | Primary |
Addresses
Primary practice location
4030 Pickstone Dr
Fairfax, VA 22032-1344
Mailing address
4030 Pickstone Dr
Fairfax, VA 22032-1344
Phone (240) 988-6302
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24-19 | Other | VA | CITY OF FAIRFAX MASSAGE THERAPIST PERMIST |
| 13468 | Other | DONA INTERNATIONAL CERTIFIED BIRTH DOULA | |
| 0019017251 | Other | VA | LICENSE TO PRACTICE AS A MASSAGE THERPIST |
| M20-048 | Other | VA | FAIRFAX COUNTY MASSAGE THERAPY PERMIT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Fairfax |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019017251 | VA | MD | Massage Therapist |
| 13468 | IL | MD | Doula |
NPI Registry JSON
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY OF FAIRFAX MASSAGE THERAPIST PERMIST",
"identifier": "24-19",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DONA INTERNATIONAL CERTIFIED BIRTH DOULA",
"identifier": "13468",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE TO PRACTICE AS A MASSAGE THERPIST",
"identifier": "0019017251",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAIRFAX COUNTY MASSAGE THERAPY PERMIT",
"identifier": "M20-048",
"state": "VA"
}
],
"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": []
}Other providers in Fairfax, VA
Sources for this page
- 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.