Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Glenn Ludgate Fitkin IV, PT, DPT

Individual provider Physical Therapist · NPI 1760134720

Mr. Glenn Ludgate Fitkin IV, PT, DPT is a Physical Therapist in Private Practice in Wyoming, Michigan. Qualified in 2021, 5 years ago. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone: (616) 252-7199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501020251 (MI)

Record details

NPI number1760134720
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 21, 2022
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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