IAN BROKAW (DPT) – Physical Medicine & Rehabilitation Physician, NPI 1356838262

IAN BROKAW (DPT) is a healthcare provider. based in Canton, Connecticut. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials DPT. They hold a License No. 10642 (CT). The NPI Number for IAN BROKAW (DPT) is 1356838262

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
IAN BROKAW (DPT)
NPI
1356838262
Phone
(860) 693-6226
Address
PO BOX 466
Enumeration Date
16 April 2018
Last Update Date
16 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604824888
Graduation Year
2015 (11 years ago)
PAC ID
0244576114
Group Practice PAC ID
8022903640
Professional Enrollment ID
I20190114002567
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for IAN BROKAW (DPT)

  • 466, Morley-Potsdam Road, Slab City, Canton, Saint Lawrence County, New York, 13617, United States

    CANTON, CT 060190466

    Phone: (860) 693-6226

    Fax: (860) 693-8002

    Type: Mailing

  • 65, Albany Turnpike, Canton, Hartford County, Connecticut, 06019, United States

    CANTON, CT 060192507

    Phone: (860) 693-6226

    Fax: (860) 693-8002

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 06019)

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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: 8022903640View full group profile
NameSpecialtyState
JEANNE MARIE DAUBERT (DPT)
-CT
MS. CARLEEN LINDSEY (PT MS GCS)
Physical Therapist In Private PracticeCT
ROBERT M DAVENPORT (PT)
Physical Therapist In Private PracticeCT
SHANYA STEARNS (DPT)
Physical Therapist In Private PracticeCT
NICOLE LYNN FERN MORRONE (DPT)
Physical Therapist In Private PracticeCT
JILL O MAEDER (PT)
-CT
PAULA M WEBSTER (PT)
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

Can I verify IAN BROKAW (DPT) with an NPI only?
You can start verification with NPI 1356838262 for IAN BROKAW (DPT), then check state licensing separately.
Can I rely on IAN BROKAW (DPT) being an active provider?
As of the registry snapshot, IAN BROKAW (DPT) is marked active.
What taxonomy line describes IAN BROKAW (DPT)?
For research purposes, treat IAN BROKAW (DPT) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect IAN BROKAW (DPT) on a map?
Expect Canton, Connecticut as a primary anchor for IAN BROKAW (DPT) unless the record lists multiple sites.
Is the information about IAN BROKAW (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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