DERRICK BROCKAMER DPT
NPI 1396254967
Physical Therapist in Wallingford, CT

Active since September 26, 2017Accepts Medicare Assignment
82.17/100
CMS Quality Rating
701 N COLONY RD, WALLINGFORD, CT 06492(203) 294-0449(203) 466-8527 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Mar 4, 2022, Dec 9, 2020 (3 updates tracked since 2020).

About Derrick Brockamer Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK BROCKAMER DPT (NPI 1396254967) is an individual physical therapist in Wallingford, Connecticut, licensed in Connecticut (11681) and active in the NPI registry since September 2017. He maintains a secondary practice location in Hamden and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396254967
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDERRICK BROCKAMERCredential: DPT
Location Address701 N COLONY RDWallingford, CT 06492-2407
Mailing Address2 Barnes Industrial Rd SWallingford, CT 06492-2486 · (203) 626-0160 · Fax (203) 294-6734
Fax(203) 466-8527
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2017
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1396254967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CT · 11681
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
701 N COLONY RD, Wallingford, CT 06492

Secondary Practice Location 1

Location 12416 Whitney AveHamden, CT 06518-3248 · Phone (203) 407-3590 · Fax (203) 466-8527

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derrick Brockamer Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517224744
PECOS Enrollment IDI20171127001414

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.2
Improvement Activities40
Cost67.71

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
701 N COLONY RD
WALLINGFORD, CT 06492
Orthopaedic Surgery
701 N COLONY RD
WALLINGFORD, CT 06492
Physical Therapist
701 N COLONY RD
WALLINGFORD, CT 06492
Internal Medicine
701 N COLONY RD
WALLINGFORD, CT 06492
Physical Therapist
701 N COLONY RD
WALLINGFORD, CT 06492
Occupational Therapist
701 N COLONY RD
WALLINGFORD, CT 06492
Physical Medicine & Rehabilitation
701 N COLONY RD
WALLINGFORD, CT 06492
Physical Therapist
701 N COLONY RD
WALLINGFORD, CT 06492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Brockamer's NPI number?

The NPI number for Derrick Brockamer is 1396254967. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Derrick Brockamer located?

Derrick Brockamer practices at 701 N Colony Rd, Wallingford, CT 06492. The listed phone number is (203) 294-0449.

What is Derrick Brockamer's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Derrick Brockamer enrolled in Medicare?

Yes. Derrick Brockamer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derrick Brockamer was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.