National Provider Identifier
Brian Spillman, PT DPT
Brian Spillman, PT DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Orchard Park, NY and a listed phone number of (716) 539-2900.
Profile Overview
- NPI
- 1104484583
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 31, 2019
- Last Updated
- March 21, 2024
Practice Location
- 4200 N Buffalo RD
- Orchard Park, NY 14127-2415
Phone: (716) 539-2900
Mailing Address
- 790 Remington Blvd
- Bolingbrook, IL 60440-4909
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1104484583
- Entity Type
- Individual
- Last Name
- Spillman
- First Name
- Brian
- Credential
- PT DPT
- Mailing Street Address
- 790 Remington Blvd
- Mailing City
- Bolingbrook
- Mailing State
- IL
- Mailing ZIP Code
- 60440-4909
- Mailing Country
- US
- Practice Street Address
- 4200 N Buffalo RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2415
- Practice Country
- US
- Practice Phone
- (716) 539-2900
- Practice Fax
- (716) 539-2901
- Enumeration Date
- May 31, 2019
- Last Updated
- March 21, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 05930878 (NY)