Raven Fitch, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

10500 Wakeman Dr Ste 500
Fredericksburg, VA 22407-8014

Phone

(540) 785-7888

NPI assigned

Aug 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Massage Clinic, Inc

  • Massage Therapist
  • Fredericksburg, VA
  • NPI 1013796325
  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1629808993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 500",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078014",
            "telephone_number": "540-907-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 500",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078014",
            "telephone_number": "540-785-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "RAVEN",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Fischer, MSPT
• George Fish, M.D.
• Thomas Balmat Fish, RPH
• Amanda B Fisher, PMHNP-BC
• Leanora Fisher, CNP
• Monica Fitzgerald, DPT
• Morgan Minter Fitzgerald
• Amanda Gail Fitzpatrick, MSW
• Five Star Frederick Heartfields LLC
• Julie Anne Flanagan, CNM

• Massage Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.