MEDICARE: CLEARWATER SPORTS MASSAGE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1871452672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARWATER SPORTS MASSAGE LLC

Provider Business Mailing Address
First Line	:	1465 S FORT HARRISON AVE STE 202
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-2504
Country	:	US
Telephone Number	:	727-580-3160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1465 S FORT HARRISON AVE STE 202
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-2504
Country	:	US
Telephone Number	:	727-580-3160
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREA MAY
Credential	:	LMT
Telephone Number	:	727-580-3160

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

Similar Medicare Providers

1376011700 — OLIVE MEDICAL SOLUTIONS, INC.
Practice Location Address:

1465 S FORT HARRISON AVE STE 208
CLEARWATER, FL
33756-2504

Practice Phone: 727-221-9711
Practice Fax:

1831872704 — DAVID RUBIO JR. PH.D.
Practice Location Address:

1465 S FORT HARRISON AVE STE 204
CLEARWATER, FL
33756-2504

Practice Phone: 727-746-5812
Practice Fax:

1467214890 — THRIVE CHILD PSYCHOLOGY PLLC
Practice Location Address:

1465 S FORT HARRISON AVE STE 204
CLEARWATER, FL
33756-2504

Practice Phone: 727-746-5812
Practice Fax:

1053176438 — DR. LESLIE MARSHALL PHD
Practice Location Address:

1465 S FORT HARRISON AVE STE 204
CLEARWATER, FL
33756-2504

Practice Phone: 727-746-5812
Practice Fax:

1962351320 — THE JENNY PROGRAM
Practice Location Address:

1491 SOUTHRIDGE DR
CLEARWATER, FL
33756-1322

Practice Phone: 727-612-5895
Practice Fax:

1871981118 — MS. MAMATA PANDYA ARNP
Practice Location Address:

455 PINELLAS ST STE 400
CLEARWATER, FL
33756-3356

Practice Phone: 727-445-1911
Practice Fax: 727-445-1986

Directions to “CLEARWATER SPORTS MASSAGE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.