Brian Clow, NYS LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

031498 Issued in NY

Practice address

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

Phone

(518) 951-4914

NPI assigned

Jul 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Wellness New York LLC

  • Massage Therapist
  • Clifton Park, NY
  • NPI 1659944429
  NPD Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1699348599",
    "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": {
        "last_name": "CLOW",
        "first_name": "BRIAN",
        "credential": "NYS LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "031498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifton Park Physical Therapy
• Clifton Park Physical Therapy PLLC
• Clifton Park Podiatry, P.C.
• Clifton PK Family Dentistry
• Debra Clothier
• Russell Cobane, DPT
• Kelly A. Coccetti, PT
• Barbara Hunter Collins, FNP
• Columbia University
• Comfort Lifemed Inc

• 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.