Active NPI
Mike B. Mathews, L.M.T.
- Massage Therapist
- Clearwater, FL
National Provider Identifier
1669788634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA59189
- Practice address
- 600 Lakeview Rd
Suite E
Clearwater, FL 33756-3355 - Phone
- (727) 647-9481
- NPI assigned
- Aug 27, 2010
- Sex
- Male
- Sole proprietor
- No
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 | MA59189 | FL | Primary |
Addresses
Primary practice location
600 Lakeview Rd
Suite E
Clearwater, FL 33756-3355
Mailing address
2710 Saxony CT E
Clearwater, FL 33761-1730
Phone (727) 647-9481
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 |
|---|---|---|---|
| MA59189 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1669788634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 SAXONY CT E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611730",
"telephone_number": "727-647-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LAKEVIEW RD",
"address_2": "SUITE E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563355",
"telephone_number": "727-647-9481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "MIKE",
"middle_name": "B.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA59189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.