Phillip Arash Mirian, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62039810 Issued in NY

Practice address

62 E 88TH St
Lower Level
New York, NY 10128-1151

Phone

(212) 988-2501

NPI assigned

Apr 13, 2016

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)

Enrolled

State licenses

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1750745089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 50TH AVE",
            "address_2": "16K",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015824",
            "telephone_number": "515-988-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E 88TH ST",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281151",
            "telephone_number": "212-988-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRIAN",
        "first_name": "PHILLIP",
        "middle_name": "ARASH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62039810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mirham
• Miray E Mirham, MD
• Rebecca Mirhashem
• Miriam Martinez, PHD, Psychologist, PLLC
• Miriam Stempler Inc
• Anna Mirianashvili, DO
• Mirielle Therapy Practice, PLLC
• Ally Mirin, MS, RD, CDN, CNSC
• Richard Mirin, D.M.D.
• Vassiliki Zoe Mirisis, MD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.