Healthcare Provider Details

I. General information

NPI: 1992338347
Provider Name (Legal Business Name): ANNE GREGORY HEINRITZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 GLEN EAGLES DR
RENO NV
89523-2074
US

IV. Provider business mailing address

2520 GLEN EAGLES DR
RENO NV
89523-2074
US

V. Phone/Fax

Practice location:
  • Phone: 775-393-9244
  • Fax: 775-201-0031
Mailing address:
  • Phone: 775-393-9244
  • Fax: 775-201-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070024901
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number4533
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: