DR. BRIAN LAVADO (PT, DPT) – Physical Therapist, NPI 1083194989

DR. BRIAN LAVADO (PT, DPT) is a healthcare provider. based in Middletown, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 11995 (CT). The NPI Number for DR. BRIAN LAVADO (PT, DPT) is 1083194989

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN LAVADO (PT, DPT)
NPI
1083194989
Phone
(860) 343-9572
Address
140 Main St
Enumeration Date
20 August 2018
Last Update Date
20 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603452626
Graduation Year
2018 (8 years ago)
PAC ID
5991135097
Group Practice PAC ID
7911800180
Professional Enrollment ID
I20200413002126
Address ID
CT064414202HI3XXXXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for DR. BRIAN LAVADO (PT, DPT)

  • 140 Main St

    Unit 4B

    Middletown, CT 06457

    Phone: (860) 343-9572

    Type: Location

  • Hartford Hospital Eye Surgery Center, 505, Willard Avenue, Newington Junction South Historic District, Newington Junction, Newington, Hartford County, Connecticut, 06111, United States

    BUILDING #1, SUITE 1D

    NEWINGTON, CT 06111

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200413002126IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911800180View full group profile
NameSpecialtyState
Nurse PractitionerCT
Physical Therapist In Private PracticeCT
Family PracticeCT
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeNY
Internal MedicineCT
Physical Therapist In Private PracticeCT
Nurse PractitionerCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What NPI should I save for DR. BRIAN LAVADO (PT, DPT)?
Save NPI 1083194989 if you need a stable reference for DR. BRIAN LAVADO (PT, DPT).
Is DR. BRIAN LAVADO (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. BRIAN LAVADO (PT, DPT) work in?
You can think of DR. BRIAN LAVADO (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for DR. BRIAN LAVADO (PT, DPT)?
We surface Middletown, Connecticut for DR. BRIAN LAVADO (PT, DPT) based on available NPPES addresses.
Is DR. BRIAN LAVADO (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1083194989. Always confirm identity and privileges with the practice and licensing boards.

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