Dynamic Wellness New York LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

DYNAMIC WELLNESS NEW YORK LLC

Practice address

632 Plank Rd Ste 208
Clifton Park, NY 12065-2034

Phone

(518) 951-4914

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Brian Clow, LMTNPI 1699348599

Title

Owner

Phone

(518) 951-4914

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.

• Brian Clow, NYS LMT

  • Massage Therapist
  • Clifton Park, NY
  • NPI 1699348599
  NPD Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1659944429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 COLUMBUS AVE",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882129",
            "telephone_number": "518-951-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 PLANK RD STE 208",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652034",
            "telephone_number": "518-951-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WELLNESS NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-951-4914",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Dudick, D.C.
• Danielle Dumrese, FNP
• Amanda Dunham, FNP
• Catarina Durante Bergue Alves, PHD, LP
• David D Durling, RN
• Eckerd Corporation
• Deborah L Ecklund, RN
• James Alexander Edmond, MD
• Sana Tahir Effendi, DO
• Anika Ejaz

• Massage Therapist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.