Active NPI
Bobbie Jo Fitzek, L.M.T.
- Massage Therapist
- Cranston, RI
National Provider Identifier
1962706267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT01713
- Practice address
- 1199 Reservoir Ave
Cranston, RI 02920-6008 - Phone
- (401) 228-7558
- NPI assigned
- Dec 29, 2010
- Sex
- Female
- 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 | MT01713 | RI | Primary |
Addresses
Primary practice location
1199 Reservoir Ave
Cranston, RI 02920-6008
Mailing address
333 Oaklawn Ave
Apt. 2a
Cranston, RI 02920-3842
Phone (401) 391-2133
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 |
|---|---|---|---|
| MT01713 | RI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1962706267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 OAKLAWN AVE",
"address_2": "APT. 2A",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029203842",
"telephone_number": "401-391-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206008",
"telephone_number": "401-228-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZEK",
"first_name": "BOBBIE JO",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "RI",
"license": "MT01713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.