Individual provider Active NPI

Nicholas Whittaker, BS, LMT

  • Massage Therapist
  • Trenton, MI
National Provider Identifier
1336074277
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501017552 Issued in MI
Practice address
3370 Van Horn Rd Apt 164
Trenton, MI 48183-4023
Phone
(734) 735-5517
NPI assigned
Jun 13, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501017552 MI Primary

Addresses

Primary practice location

3370 Van Horn Rd Apt 164
Trenton, MI 48183-4023

Mailing address

3370 Van Horn Rd Apt 164
Trenton, MI 48183-4023
Phone (734) 735-5517

Other names 1

  • River Whittaker Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1781308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1336074277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 VAN HORN RD APT 164",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834023",
            "telephone_number": "734-735-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 VAN HORN RD APT 164",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834023",
            "telephone_number": "734-735-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "NICHOLAS",
        "credential": "BS, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-13",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501017552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIVER",
            "last_name": "WHITTAKER",
            "credential": "BS, LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.