Organization Active NPI

Brian Arm Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Greenport, NY
National Provider Identifier
1902088008
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
020686-1 Issued in NY
Legal business name
BRIAN ARM PHYSICAL THERAPY, PC
Practice address
74825A Main Rd
Suite 2
Greenport, NY 11944-2830
Phone
(631) 477-4959
Fax
(631) 477-4184
NPI assigned
Nov 29, 2007
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Mr. Brian James Arm, M.S.P.T.NPI 1588635585
Title
Owner
Phone
(631) 477-4959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 020686-1 NY Primary

Addresses

Primary practice location

74825A Main Rd
Suite 2
Greenport, NY 11944-2830

Mailing address

27 Williams Way S
Calverton, NY 11933-1335
Phone (631) 591-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000082 NY Part B Supplier - Clinic/Group Practice 1456426329 Receives reassigned benefits from 3 practitioners
Practice locations: Greenport, NY

National Provider Directory

National Provider Directory

Locations

135 3rd St
Unit 12
Greenport, NY 11944
Phone (631) 477-4959

74825A Main Rd
Ste 2
Greenport, NY 11944
Phone (631) 477-4959

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1902088008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WILLIAMS WAY S",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "119331335",
            "telephone_number": "631-591-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74825A MAIN RD",
            "address_2": "SUITE 2",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119442830",
            "telephone_number": "631-477-4959",
            "fax_number": "631-477-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN ARM PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "ARM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-477-4959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "020686-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.