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NPI Code Detail

MEDICARE: DR. TODD MICHAEL REITER

MEDICARE: DR. TODD MICHAEL REITER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician2009-01103NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194917732
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD MICHAEL REITER
Provider Business Mailing Address
First Line : 64 ABBOTTSFORD DR
Second Line :
City : PINEHURST
State : NC
Zip : 28374-9756
Country : US
Telephone Number : 336-442-9005
Fax Number : 910-406-5974
Provider Business Practice Location Address
First Line : 2475 HILLCREST CENTER CIR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-3048
Country : US
Telephone Number : 336-754-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2007
Last Update Date : 02/19/2026

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