Ian Brokaw, DPT
Physical Medicine & Rehabilitation in Canton, Connecticut
1356838262- Practice location
- 65 Albany Tpke, Canton, CT 06019-2507
- Phone
- 860-693-6226
- Fax
- 860-693-8002
- Last updated
- April 16, 2018
Ian Brokaw is a Physical Medicine & Rehabilitation based in Canton, CT. Ian Brokaw practices in Canton, CT and has the professional credentials of DPT. The NPI Number for Ian Brokaw is 1356838262 and holds a License No. 10642 (CT). The current practice location address for Ian Brokaw is 65 Albany Tpke, Canton, CT 06019-2507 and can be reached out via phone at 860-693-6226 and via fax at 860-693-8002.
Provider Profile Details
- NPI Number
- 1356838262
- Provider Name
- Ian Brokaw
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 65 Albany Tpke, Canton, CT 06019-2507
- Phone Number
- 860-693-6226
- Fax Number
- 860-693-8002
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2018
- Last Update Date
- April 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Albany Tpke
Canton, CT 06019-2507 - City
- Canton
- State
- Connecticut
- Zip
- 06019-2507
- Phone Number
- 860-693-6226
- Fax Number
- 860-693-8002
Provider Business Mailing Address Details
- Address
- Po Box 466
Canton, CT 06019-0466 - City
- Canton
- State
- CT
- Zip
- 06019-0466
- Phone Number
- 860-693-6226
- Fax Number
- 860-693-8002
License Information
- License Number (1)
- 10642
- License State (1)
- CT
- Taxonomy (1)
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- License Number (2)
- 10642
- License State (2)
- CT
- Taxonomy (2)
- Physical Medicine & Rehabilitation · 208100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ian Brokaw, DPT?
The NPI number of Ian Brokaw, DPT is 1356838262. It was assigned on April 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Ian Brokaw, DPT?
Ian Brokaw, DPT is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in CT under license number 10642.
Where does Ian Brokaw, DPT practice?
The practice location is 65 Albany Tpke, Canton, CT 06019-2507. The office can be reached at 860-693-6226 (phone) or 860-693-8002 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356838262 directly on the NPPES registry website.