Crystal Reitman
Physical Therapist in Roswell, GA. Individual provider (NPI-1).
NPI number1750832408
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1750832408
- Entity type
- Individual (NPI-1)
- Name
- Crystal Reitman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2016
- Last updated
- Oct 18, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT012664 | GA | Yes |
Practice location
402 Bombay LnRoswell, GA 30076-5826
Phone 678-878-2503 · Fax 648-878-2505
Mailing address
402 Bombay LnRoswell, GA 30076-5826
Phone 678-878-2503 · Fax 648-878-2505
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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