Provider Demographics
NPI:1588635585
Name:ARM, BRIAN JAMES (MSPT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:JAMES
Last Name:ARM
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 WILLIAMS WAY S
Mailing Address - Street 2:
Mailing Address - City:CALVERTON
Mailing Address - State:NY
Mailing Address - Zip Code:11933-1335
Mailing Address - Country:US
Mailing Address - Phone:631-477-4959
Mailing Address - Fax:631-477-4184
Practice Address - Street 1:74825A MAIN RD
Practice Address - Street 2:
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944-2830
Practice Address - Country:US
Practice Address - Phone:631-477-4959
Practice Address - Fax:631-477-4184
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-28
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020686-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2278008OtherUNITED COMMERCIAL ID
NYP2744178OtherOXFORD NON-PARTICIPATING
NYQQ1471OtherEMPIRE
NY149337OtherVYTRA, EAST END
NY5580284OtherCIGNA HEALTH CARE
NY64-01307OtherUNITED GOVERNMENT ID
NY68-0503930Other1199
NYP00037531OtherMEDICARE RAILROAD
NY68-0503930OtherISLAND GROUP ADMIN.
NY149337OtherVYTRA, EAST END
NYP65572Medicare UPIN