Active NPI
Robert Charles Fitzpatrick
- Massage Therapist
- Mount Pleasant, MI
National Provider Identifier
1629953591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501011841
- Practice address
- 113 W Broadway St.
Suite 110, Room 3
Mount Pleasant, MI 48858 - Phone
- (989) 289-0929
- NPI assigned
- Aug 8, 2025
- 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 | 7501011841 | MI | Primary |
Addresses
Primary practice location
113 W Broadway St.
Suite 110, Room 3
Mount Pleasant, MI 48858
Mailing address
1844 W Ludington Dr
Farwell, MI 48622-9742
Phone (989) 339-7669
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501011841 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1629953591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 W LUDINGTON DR",
"city": "FARWELL",
"state": "MI",
"postal_code": "486229742",
"telephone_number": "989-339-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W BROADWAY ST.",
"address_2": "SUITE 110, ROOM 3",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-289-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501011841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.