Ian Brokaw (NPI# 1356838262, PAC ID# 0244576114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1356838262 |
| PAC ID by PECOS | 0244576114 |
| Professional Enrollment ID | I20190114002567 |
| Full Name | Ian Brokaw |
| Organization Legal Name | CANTON PHYSICAL THERAPY LLC |
| Address |
36 Main St Torrington CT 06790-5303 |
| Phone Number | 8604824888 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8022903640 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 36 Main St, Torrington, CT 06790-5303 | 8604824888 | CANTON PHYSICAL THERAPY LLC |
| Organization Legal Name | CANTON PHYSICAL THERAPY LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andria Lynn Hotchkiss | Physical Therapy | Canton Physical Therapy LLC | 65 Albany Tpke A, Canton, CT 06019-2507 |
| Jeanne Daubert | Physical Therapy | Canton Physical Therapy LLC | 6 Poquonock Ave, Windsor, CT 06095-2551 |
| Robert M Davenport | Physical Therapy | Canton Physical Therapy LLC | 115 Spencer St, Winsted, CT 06098-1140 |
| Shanya Stearns | Physical Therapy | Canton Physical Therapy LLC | 115 Spencer St, Winsted, CT 06098-1140 |
| Jill O Maeder | Physical Therapy | Canton Physical Therapy LLC | 6 Poquonock Ave, Windsor, CT 06095-2551 |
| Paula M Webster | Physical Therapy | Canton Physical Therapy LLC | 6 Poquonock Ave, Windsor, CT 06095-2551 |
| Kim Grogan | Physical Therapy | Canton Physical Therapy LLC | 65 Albany Tpke A, Canton, CT 06019-2507 |
| Brittany L Corsetti | Physical Therapy | Canton Physical Therapy LLC | 115 Spencer St, Winsted, CT 06098-1140 |
| Street Address |
36 MAIN ST |
| City | TORRINGTON |
| State | CT |
| Zip | 06790-5303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Shea | Clinical Social Worker | 36 Main St, 5b, East Haven, CT 06512-2524 | |
| Mary K Young Murray | Clinical Social Worker | 36 Main St, Le Roy, NY 14482-1443 | |
| Elizabeth A Keathley | Psychologist, Clinical | 36 Main St, Fl 2, Middlebury, VT 05753-1416 | |
| Jonathan R Aronoff | Psychologist, Clinical | 36 Main St, Stockbridge, MA 01262-9701 | |
| Scott Weil | Optometry | 36 Main St, Port Washington, NY 11050-2919 | |
| Jane K Regan | Nurse Practitioner | 36 Main St, 5a, East Haven, CT 06512-2524 | |
| Ralph C Manna | Chiropractic | 36 Main St, East Haven, CT 06512-2524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Murphy | Clinical Social Worker | 58 Woodside Cir, Torrington, CT 06790-2238 | |
| Mark F Dworkin | Clinical Social Worker | 460 Evergreen Rd, Torrington, CT 06790-2247 | |
| Letha Dudley | Clinical Social Worker | 61 Trotters Way, Torrington, CT 06790-2364 | |
| Peter G Gasparo | Psychiatry | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Elizabeth M Conrad | Clinical Social Worker | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Joan S Selvage | Certified Clinical Nurse Specialist (cns) | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Robert M Stubbs | Clinical Social Worker | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Jeffrey Nachbar | Psychiatry | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| William Marcus Eckerd | Psychiatry | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Kelly Anne Knight | Clinical Social Worker | State of Connecticut | 249 Winsted Rd Fl, 3 Western Ct Mental Health Network, Torrington, CT 06790-2958 |
| Find all physicians in zip 06790 | |||
| City | TORRINGTON |
| Zip Code | 06790 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TORRINGTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ian Brokaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.