Active NPI
Nicholas Whittaker, BS, LMT
- Massage Therapist
- Trenton, MI
National Provider Identifier
1336074277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501017552
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.