IAN BROKAW (NPI# 1356838262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356838262 |
| Entity Type | Individual |
| Full Name | IAN BROKAW |
| Credential | DPT |
| Practice Address |
65 Albany Tpke Canton CT 06019-2507 |
| Mailing Address |
Po Box 466 Canton CT 06019-0466 |
| Practice Telephone | 8606936226 |
| Practice Fax Number | 8606938002 |
| Mailing Telephone | 8606936226 |
| Mailing Fax Number | 8606938002 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 10642 | CT | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
10642 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
65 ALBANY TPKE |
| City | CANTON |
| State | CT |
| Zip Code | 06019-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000716 | Jeanne Marie Daubert | Physical Therapist | 65 Albany Tpke, Suite A, Canton, CT 06019-2507 | 2005-11-18 |
| 1336508977 | Myra Holt | Physical Therapist | 65 Albany Tpke, Suite A, Canton, CT 06019-2507 | 2016-02-10 |
| 1538503792 | Brittany Corsetti | Physical Therapist | 65 Albany Tpke, Canton, CT 06019-2507 | 2013-04-18 |
| 1679848378 | Elizabeth Kassel | Physical Therapist | 65 Albany Tpke, Suite A, Canton, CT 06019-2507 | 2012-03-13 |
| 1861622011 | James Andrew O'brien | Physical Therapist | 65 Albany Tpke, Suite A, Canton, CT 06019-2507 | 2009-07-22 |
| 1710128830 | Glen Angers | Physical Therapist | 65 Albany Tpke, Canton, CT 06019-2507 | 2009-03-19 |
| 1083852289 | Selinda A Shepherd | Physical Therapist | 65 Albany Tpke, Canton, CT 06019-2507 | 2009-01-26 |
| 1649493644 | Canton Physical Therapy, LLC | Specialist | 65 Albany Tpke, Canton, CT 06019-2507 | 2007-04-10 |
| 1962515296 | Paula M Webster | Physical Therapist | 65 Albany Tpke, Suite A, Canton, CT 06019-2507 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in zip 06019 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750629515 | Functional Physical Medicine Associates LLC | Physical Medicine & Rehabilitation | 4418 22nd St Nw, Canton, OH 44708-1574 | 2013-01-29 |
| 1134477912 | Excel Medical Group | Physical Medicine & Rehabilitation | 42928 Versailles, Canton, MI 48187-2344 | 2012-08-27 |
| 1700994142 | Sheryl Movsas | Physical Medicine & Rehabilitation | 6119 Us Highway 11, Canton, NY 13617-3991 | 2006-08-27 |
| 1578503017 | Uma M. P. Rao | Physical Medicine & Rehabilitation | 1 Navaho Dr, Canton, MA 02021-1261 | 2006-06-06 |
| 1902279094 | Progressive Medical Specialists | Physical Medicine & Rehabilitation | 4774 Munson St Nw, Suite 204, Canton, OH 44718-3634 | 2015-11-11 |
| 1730429275 | Kelsey S O'connor | Physical Medicine & Rehabilitation | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2013-02-20 |
| 1497045918 | Mind-body Connection, LLC | Physical Medicine & Rehabilitation | 401 Neponset St, Suite 3, Canton, MA 02021-1937 | 2011-04-18 |
| 1861702805 | Michigan Pain Physicians PC | Physical Medicine & Rehabilitation | 43050 Ford Rd, Ste. 170, Canton, MI 48187-3359 | 2010-10-08 |
| 1174831218 | Canton Physical Medicare, LLC | Physical Medicine & Rehabilitation | 2050 Cumming Hwy, Suite 100, Canton, GA 30114-8614 | 2010-09-23 |
| 1831260207 | Daniel M Dorfman | Physical Medicine & Rehabilitation | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2006-11-10 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.