Clearwater Beach Spa, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

16689 Issued in FL

Legal business name

CLEARWATER BEACH SPA, INC.

Practice address

641 1/2 Mandalay Ave
Clearwater, FL 33767-1523

Phone

(727) 461-7041

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Claude Gibson Hooten III, LMTNPI 1720485576

Title

President

Phone

(727) 460-4789

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claude Hooten III

  • Massage Therapist
  • Clearwater, FL
  • NPI 1720485576
  NPD (past) Authorized official

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1255738019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 GRANADA ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551036",
            "telephone_number": "727-461-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 1/2 MANDALAY AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337671523",
            "telephone_number": "727-461-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER BEACH SPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "HOOTEN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "GIBSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-460-4789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "16689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.