Our Team
Our Team
Our multidisciplinary team of specialists provides the complete spectrum of musculoskeletal care. Our specialty physicians treat patients of all ages and are skilled at assessing both common and complex conditions.
Conditions
Conditions
At PMR, we help patients with a variety of medical conditions. From chronic back and neck pain to traumatic injuries, our team of specialists are uniquely qualified to help ease pain and help you function, move and live better.
Treatments
Treatments
We offer a variety of treatments that are designed to help our patients recover from injury as well as lead a more healthy life. Our team of specialists are uniquely qualified to utilize the latest advancements in multiple treatment modalities.
Chiropractors & Physical Therapists in NY & CT
Chiropractic, Physical Therapy & Sports Medicine Specialists
At our NY and CT facilities, located in Brookfield and Danbury, CT as well as Brewster, NY, we integrate the best of chiropractic, physical therapy, massage therapy and sports medicine. As an integrated medical practice, PMR concentrates the experience of our healthcare team to promote healing. Our goal is to educate our patients on wellness and lifestyle. It’s through our educational rehabilitation programs that our patients learn the proper strength and conditioning techniques to keep them healthy with whatever condition they have been presented with.
Physical Medicine & Rehabilitation of NY & CT is a multidisciplinary practice that provides the complete spectrum of musculoskeletal care including chiropractic and physical therapy. Our team consists of chiropractors, physical therapists and specialty physicians that work with patients from prevention and diagnosis to treatment and rehabilitation through the following specialities:
Our Chiropractors & Physical Therapists
Our chiropractors and physical therapists, as well as knowledgeable staff, at Physical Medicine & Rehabilitation of NY & CT are dedicated to delivering the highest quality of care to our patients. Combining the knowledge and expertise of our multidisciplinary team, we are able to provide patient-centered care with treatments and therapies designed around the individual needs of each patient.
Paul Ciatto, DC
Craig Tilden, DC
Chris Shay, DC
Joseph Delgiorno, DC
Natalia Glenn, PT
Laura Unson, PTA
Randy Eskenazi, PTA
Alexander Kuzminov, DACM, L.Ac.
Jolyne Dudics, LMT
Filipe Costa, BS
Frequently Asked Questions
Most insurances accepted, except Husky & Medicare.
All billing questions will be answered by either Practice Max or our Front Desk Staff.
For further questions, please contact the main Billing office at (203) 744-8014 and speak with Debra.
Your insurance benefits and eligibility should be explained to you at your first appointment so we are all clear of what is taking place. If it’s not explained to you, please contact the main Billing Office.
You may request an appointment by completing our online form or calling 845-279-1135. For existing appointments, please give 24 hour courtesy when canceling or changing the time of your appointment. We will send NO SHOW fees to all patients at all 4 locations.
Trigger points are knots that develop in a muscle when it is injured or overworked. Headaches, neck stiffness, carpal tunnel type symptoms, tennis elbow, bursitis, frozen shoulder, back pain, low back stiffness, sciatica, and shin splints can all benefit from trigger point therapy.
Our doctors are skilled at locating and easing the pain from these trigger points. We apply pressure on the area causing the points to relax and release. We will show you stretches and exercises to do at home that will aid in healing and management.
Our doctors may also perform injections combined with manual modalities to speed up the healing process.
Find out more about the services we offer in our Treatments page.
During pregnancy your posture, center of gravity, and body mass changes as the fetus develops. There is also a loosening of the ligaments, which hold the bones together, especially where the pelvis and spine connect. The average weight gain of 25 to 35 pounds, combined with the increased stress placed on the body by the baby, can sometimes result in severe discomfort.
Chiropractic care is a drugless way to relieve back pain and other symptoms that occur during pregnancy. Studies show that chiropractic is safe for mother and child, controls back pain, shorten labor, and can even help women get pregnant.
Even before you become pregnant, a chiropractor can help. They will be able to properly assess your body and diagnose any already existing imbalances in your pelvis or elsewhere that may increase your discomfort during pregnancy.
Additionally, they can detect factors in your skeletal structure that may lead to problems after you give birth.
After pregnancy, your chiropractor can treat you to help ensure that stretched out joints and loosened ligaments get back to their proper places
Receive a free consultation and find out more about the Chiropractic services we offer in our Brewster and Danbury locations.
During a child’s formative years the spine is at its most vulnerable. Even before birth a baby’s head, neck, and back is placed under a lot of stress as it moves within the womb. This trauma is often further increased during the birth process. Treatment can consist of a series of gentle adjustments to the parts of the spine which are misaligned, as we would begin to remove any nerve stress and return the body to a state of ‘willingness’. Our Doctors may also give you nutritional and postural advice.
As your child grows, everyday playing, athletics, and the stress of growing and life can all lead to subluxation in your child’s spine. This may lead to a lowered resistance to illness and can result in poor function in the body’s natural healing process.
This is why a spinal check-up should be part of a yearly examination schedule. Prevention is key to a healthy and happy existence.
What Our Patients Say
Alicia Schmitt
16:27 05 Jan 22
PMR is an incredible practice and I cannot say enough good things about the therapists and practitioners who work there. They offer a variety of services that help treat chronic, debilitating pain and over the course of a few months have improved my quality of life. I have had migraines for the majority of my life and after being treated by the acupuncturist Jim I haven’t had a single one since. Dr. Tilden cares about his patients and develops treatment plans tailored specifically for their issues. I’m beyond grateful I found them.
Ashley Newland
14:45 17 Nov 21
I started seeing PMR about a year ago. I was in extremely bad back pain. It hurt to walk. My husband had come here and suggested going in to see if I could gain relief.I found out through X-rays completed in the office, I had disc issues. I left crying thinking my back would never feel better.I started seeing PMR twice a week and little by little through their coarse of treatment my back started feeling so much better. I am so grateful for this office and the relief I am feeling.I still come twice a month and always look forward to my appointments. My back always feels amazing when I leave. And I enjoy the benefits regular chiropractic care provides. In addition to a few other things I am doing, this is the first fall I have not suffered from seasonal allergies. I have heard regular adjustments can help.I highly recommend this office. I can’t express how thankful I am for finding an incredible office that provides not only adjustments, but so much more to help with a variety of issues. If you’re looking for a chiropractor, thus is a great office to see.
Brian King
18:13 02 Nov 21
Great people, fantastic place. 3 sessions in and I feel like a “real boy” again. Helping me fix 25 plus years of neglecting my body whilst working, spawned by a recent thoracic injury. I’m headed towards symmetry. Fantastic!
Gustavo Mahana
15:21 23 Oct 21
Incredibly friendly staff who care and make sure each patient gets personalized treatment to help them get better!
Paul GOLDNER
17:05 29 Sep 21
There is only one way to describe this place; FANTASTIC!The therapists are incredible. The are very knowledgeable and empathetic. I was going to PT for 5 months for what I thought was a minor injury. They stuck by me the entire process and never gave up on me. Now, I’m finally all better.The rest of the staff are also awesome; from the receptionist to the head Dr. Everyone knew me by first name. The staff was always incredibly cheerful and welcoming.I’ve had a knee surgery, two back surgeries, and countless other sports related injuries. I know physical therapy offices because I have been to a lot.These guys are simply the best. Do yourself a favor and go there.
Robert Golenbock
14:07 18 Jul 21
After my ACL repair, I had specific goals to return to normal activities and eventually return to skiing. Dr. Tilden and therapists Laura Unson and Natalia Glenn crafted sessions that were very effective in my recovery. Just as important to me, they constantly emphasized safety during the sessions and in the recommendations for activities between sessions. I have been very satisfied.
Danielle Gassmann
13:07 06 Apr 21
I highly recommend Physical Medicine and Rehabilitation of Danbury. I suffer from severe, chronic migraines and decided to reach out to Dr. Tilden for help. I've been seeing Dr. Tilden for a little over a month now and I am so happy with the results. He and his team have helped tremendously with managing my pain. Dr. Tilden and his team work well together and are very compassionate and caring with their patients. Thank you!
Allen Gordon
12:25 14 Mar 21
Dr Mike explains what's going on with a plan for my needs, seems to be helpful. Also PT Mike was great did some scraping felt great afterward. Thanks again!
Jeffrey Varughese
15:28 26 Feb 21
Came here after reconstructive acl surgery. Recovery went better than expected. Great care from great people.
Corinne Phillips
00:50 04 Feb 21
I would not go anywhere else. They take great care and professionalism in what they do. The whole staff is wonderful.
Alex Klein
04:24 16 Nov 20
Super nice staff and wonderful care
Gabrielle Bruno
13:04 14 Nov 20
Years of training jiu-jitsu has been really hard on my body. The team at PMR has been a critical asset in my recovery from every injury and has helped me get back to doing what I love. They use a number of the most modern research-based methods and this has been a game-changer in helping me feel my best. Everyone is extremely knowledgeable and passionate about what they do. I would highly recommend Brewster PMR to anyone! 🙂
Paige Botticelli
16:06 06 Nov 20
Brewster PMR is amazing! Great friendly staff and great environment! They helped me get back to feeling 100% after hip surgery! Best place to go for physical therapy and chiropractic treatment!
Kristen Scappaticci
23:04 15 Oct 20
The staff is very nice, the trainers and chiropractors are very well trained and knowledgeable and the Heath assessment performed is very thorough. They are also very flexible with appointments. I highly recommend Danbury physical medicine and rehabilitation!
Karen Clymer
22:23 11 Oct 20
Great care and a nice facility!
Owen Ruggiero
17:48 06 Sep 20
I had a great experience here and am extremely grateful to the whole PMR team for everything they did for me. They were supportive, flexible, and super friendly. Couldn't recommend them enough.
Joanne Stevens
18:09 03 Sep 20
LOVE this facility! The combination of services makes them an excellent medical provider. The staff is professional, supportive and friendly. I recommend them fully.
Danielle McDermott
01:47 03 Sep 20
Caring, knowledgable staff with everything you need right in one office.
Beba Morales
22:22 02 Sep 20
Delilah Martinez
21:55 02 Sep 20
Excellent care great providers
Paul Carroccio
20:21 02 Sep 20
I've been visiting here for years. Whether for a sports related injury or merely for physical maintenance, I've always been treated well. The entire staff is knowledgeable & professional. I've recommended many of my friends & will continue to do so.
Stephen Garcia
18:18 02 Sep 20
Absolutely awesome! Dr. Tilden is fantastic! Overall the entire staff is very professional and awesome!
Brittany Madore
17:41 02 Sep 20
Dr. Tilden is wonderful! The entire staff is always friendly and welcoming. I recommend this place to anyone who asks!
Christine Meister
18:34 31 Aug 20
Mike has been working on me for several years. He has a lot of knowledge and experience. Every session is very helpful and positive.
Anthony Buonadonna
13:24 30 Aug 20
I recommend Brewster PMR highly they have taken care of me in a most excellent way I am so grateful to all of them thank you all
Ravenwing Darkmarsh
13:27 25 Aug 20
Ravenwing Darkmarsh
13:26 25 Aug 20
Ravenwing Darkmarsh
13:25 25 Aug 20
Courtney Bruenn
10:11 25 Aug 20
I highly recommend Mike and his staff. Mike has been treating me for several years as he has great knowledge in fixing any injury. The gym has a wide variety of work out machines and a happy outgoing atmosphere.
Waldir Mahana
16:44 24 Aug 20
Great people and facilities. Dr. Mike Naccarella developed a well planned treatment plan, informing me of all the steps and the progress to expect. After 3 or 4 sessions I already could perceive improvements, give them time and dedicate yourself to the treatment and you will see results.
Jack Walker
11:36 24 Aug 20
The entire staff is friendly and caring and give top notch treatment. I have back and neck issues and have worked with Dr. Paul, Dr. Mike, and Filipe over the years. They do an incredible job of listening to my concerns while also working to identify the cause of the issues for the best treatment plan. Without fail, I always feel so much better after treatment and appreciate all they've done for my pain management.
Charles Lake
13:59 21 Aug 20
I have been a patient at PMR on and off. Every time I i need their assistance they work around my schedule and the staff is friendly and very professional. I’ve had chiropractic manipulation, physical therapy and had gotten massages. They helped me recovered from my injuries as well as preventive maintenance for my body. If your looking for a Rehabilitation center PMR is it! Chuck lake
Mike Keto Diesel “Keto Diesel” Trinch
01:07 20 Aug 20
I can't say enough good things about Northeast PMR. They not only have some of the best staff and equipment, the facultiy is extremely clean. Northeast PMR staff are always willing to accommodate my schedule and fit me in on short notice. I have had issues with my neck for years and after only a few adjustments I feel great, no more headaches as well as a massive reduction in tingling sensation down my arm to my fingers. I highly recommend Northeast PMR any chiropractic care as well as physical therapy and rehab.
MrChefjoshua
12:07 19 Aug 20
Awesome staff! Dr. Mike is gentle and easy going, always accommodating no matter what time I get there 😁👍
Arianna Deldin
19:30 18 Aug 20
Charles Lake
19:59 17 Aug 20
I have had some pass back and muscle issues in the past that has come back and I like to lift weights and train Jiujitsu. Dr shay and his staff have always helped me to stay Mobile and pain free as well as five me things to do to better my problem. The visit is alway on times and the staff if friendly and helpful! If you need treatment I strongly recommend Brookfield PMR. I also been to the other location and they ar great too! Thank you PMRChuck Lake!
manuel costales
13:59 14 Aug 20
Great service, everyone is friendly and extremely knowledgeable.
justin jimenez
13:56 14 Aug 20
Janine Marie
21:50 13 Aug 20
Dr. Naccarella & his team are top notch. They are very professional & knowledgeable. I highly recommend this facility.
Vin Nardini
19:59 13 Aug 20
Northeast PMR is a great place for physical therapy, and chiropractic treatment. They have fixed my back pain from heavy lifting. The staff is super friendly and knowledgeable and always willing to help. All of the clinicians ensure that you come in for your visits and that you have minimal pain. I wouldn’t go anywhere else for treatment.
E. Spencer
21:55 16 Jul 20
I found Danbury PMR through my search of the best therapy & rehabilitation in the Danbury, CT area.In my initial counsel with Craig Tilden. I indicted the level of pain I was experiencing in my knees, and it looked like I was possibly headed toward knee surgery. Therapy & rehabilitation was my only remaining option. He indicated that he thought his team could help me.There was a complete examine of the current condition, and then immediate work started on the therapy required to strengthen, and create more flexibility to the impacted areas.I was paired primarily with Lara from Craig's Team, who worked with me on a number movements, strengthening techniques, and flexibility exercises. She showed her knowledge in combining a number exercises and movements to get me the maximum benefit for my condition.My current results from the treatments far exceeds my expectations, and knee surgery is nowhere in sight.The entire team at the office is patient focused and work very well as a team. From Deb (scheduling/appt.) to post treatment after you training sessions.I strongly recommend the team to anyone for their treatment needs.Thank You !!
audra edele
18:22 27 Jun 20
HIGHLY RECOMMEND! For background: I have been suffering with plantar fasciitis on and off for years. By February 2020, the pain was unbearable and I started going for PT in late Feb. From the beginning, I felt comfortable with everyone in the office. I was told the recovery was going to take months (they were honest and no sugar coating), and it was important to stick with the treatment and exercises. It is now July , and I can honestly say that I am almost 100% recovered, and feel great. This I attribute to the quality care I received at Danbury Physical Medicine. I feel like I ran the gamut of services, starting with Ultrasound to diagnosis the severity of the condition, to weekly acupuncture, to exercises, heat and cold treatment, and massage. All of these services were performed with care and purpose. I was in such pain that I needed to go through the COVID lockdown. Here is where the office excelled: they were extremely conscious of maintaining a safe and sterile environment. Social distancing and masks and gloves were required. The staff were constantly wiping down equipment. I had no concerns around my health and safety in the office. Scheduling was easy and Deb on the front desk is super friendly and accommodating. If I could give 6 stars I would!
Dawn Albanese
17:56 20 Apr 20
The gang at DPMR have been my life savers!No need for cortisone shots with their awesome traction table!. That medievalDevice is very helpful. The private care rooms are a plus. The masseuse's there remedy my back painAnd put me at ease.They're patient, down to earth, informative and professional. I highly recommend them.
Kristin Lindstrom
16:38 25 Feb 20
I have been coming to this facility for over 8 years due to injuries from working in a physically demanding and dangerous profession. They have helped me to recover from multiple surgeries with all the modalities offered. The staff is friendly, helpful and more than accommodating. The doctors really care as they spend time listening and problem solving. They have specialists who do acupuncture, trigger point injections, massage, chiropractic, physical therapy, stem and traction. Not to mention ultra sound and x-rays are offered on site.I really can't say enough about the treatment I have recieved, however my loyalty is pushing on a decade so that should speak for it's self. It's been a long journey healing and as I get closer to feeling like myself again, I plan to remain a patient for maintenance care in the years to come.Thank you to everyone at Danbury Physical Medicine for your diligence and dedication to my health.
Jordan Rodrigues
17:48 13 Jan 20
Marvelous job! Very professional, great people with a passion for what they do and great care in their patients.- Jobe
Morgan Marquis
19:19 16 Dec 19
Wonderful care and facility! I see Dr. Christopher Shay and my upper back pain / neck pain has reduced tremendously in the past month. They provide insight on how to treat your existing illnesses with acupuncture and other alternative medicines that they provide on site. The whole place doesn’t give you that “doctors office” feel, but more of a sports medicine / relaxed place of healing which is what I first took note on. The staff is very welcoming, especially the receptionist Maria! 😁
Corey Coleman
13:20 09 Dec 19
Gordy Owen
15:06 14 Nov 19
This place is the absolute best. Down to earth staff who not only gets you to recovery it takes the time to explain the process. Highly recommend!
Colleen Harding
00:46 07 Nov 19
5 stars for sure! The staff are all very nice, knowledgeable and helpful. The environment is clean and they work with your schedule to suit your needs. I highly recommend this place to all.
Lori DePalma
00:11 23 Aug 19
Car accidents are the worst things!But having a place to go to that helps you recover, physically (and mentally at times when frustrated), I’m so happy with all of my care. From traction on my neck to my adjustments and massages I feel so great when I leave.I’ve come a long way since my accident last November and a I owe it all to Craig and his extraordinary staff. I even have gotten accupuncture there and trigger shots from the MD that is on staff.I can’t say enough positive things.You need healing... this is your place!
Dennis Lennon
18:46 22 Aug 19
What an incredible staff , everyone is so nice and helpful. I was told I would need surgery and after Dr Tilden treated me I felt amazing . The physical therapy dept is also very knowledgeable Dr Mike and Laura worked on my hip replacement and had me walking painfree in no time. I have been with at least a dozen physical therapy offices in the area and none took care of me as well as Danbury PMR and cant forget Dr Joe if your nerves about chiropractic adjustment this man will take all the fears away
Matthew Alioto
15:14 12 Aug 19
Frank Ciatto
14:32 12 Aug 19
Back in February '19 I was rearended and had multiple issues and injuries in my neck and lower back. PMRs teir 1 service gave me the ability to regain mobility and flexibility, each day I continue to improve and grow stronger. The entire staff is extremely friendly, always helpful, and truly concerned with each of their patients wellbeing. I HIGHLY recommend Brewster PMR to anyone looking to inprove any injuries they may have, as well as, the other slew of excellent services they offer at their NY facility.
Brookfield Pmr
14:10 08 Aug 19
Dr. Shay and the staff are wonderful. Very Family oriented practice and they take their time explaining all treatments to their patients.
Jennifer T
18:11 28 Jun 19
The staff at Danbury Physical Medicine are professional, respectful and knowledgeable. They provided me with a comprehensive individualized treatment plan which addressed all of my concerns. Moreover, every aspect of my therapy was explained to me with measurable goals to document progress. Having been to other facilities in the past, none compare to Danbury Physical Medicine. They are the only ones I trust with my care!
Teresa Neumuller
16:49 24 Jun 19
I love this place and the people that work there. Everyone is friendly and professional. Together they work on the whole person and not just the source of pain. The environment is clean and bright. I would recommend Dr. Tilden and Laura to anyone. They offer massages and physical therapy. A great place!!!
Elizabeth Grathwohl
20:11 06 Jun 19
The team is extremely knowledgeable and their wide range of treatment has been very effective in saving my back. They’re super accommodating to patient needs whether it be changing my treatment plan or a simple appointment change. Would highly recommend!!
NAZZTY
19:46 06 Jun 19
PMR came into my life through a pestering back injury, from high school football. The PMR staff is extremely helpful and knowledgeable; and my road to recovery was swift and hassle less. After any other sports injury from college football, I will be back for treatment!
Lauren D'Onofrio
14:09 06 Jun 19
These guys are amazing! They helped me out with my back and my knee and I’m feeling great. Highly recommend!
Zach Deldin
13:56 06 Jun 19
Amazing people to work with. I would not be able to play my sport with out he help of the PMR staff. They got me back to100% faster than I would of thought.
Andrea Biondo
14:57 23 Mar 19
Dr. Shay helped me so much with my back!! I could barely walk and after just 3 visits I was back to normal.
Marie Ruiz
20:47 19 Mar 19
Muy buenos, Los recomiendo para las gentes que tienen dolores!! Son muy buenos y contestan todos sus preguntas
Connie Russell
20:38 19 Mar 19
Erik Hartling
19:58 15 Mar 19
Very friendly and knowledgeable. I couldn’t be happier with how they treated me and how great the results were. Would highly recommend them to everyone with any sort of injury and issue!
John Mulvihill
19:34 15 Mar 19
Been coming here for years for both injuries and injury prevention. Staff is knowledgeable and caring. Appointments are easy to make.
Randy Eskenazi
21:30 11 Mar 19
I was treated for pain that I have had for years. After being treated by the very knowledge and professional staff. My pain went away. I would recommend Brookfield to everyone I know.
Denise Ritacco
01:16 17 Oct 18
My husband came here barely walking and needing surgery, he decided to give this place a chance and he does not regret it. He feels 100% better and he’s not even thinking about surgery anymore. Doctor Tilden and his staff are wonderful. Thank you Danbury Physical Medicine and Rehabilitation!
Stephanie Cardante
15:00 25 Sep 18
After my accident back in october, I hurt my shoulder pretty bad, Dr.Mike & staff were able to get me back into motion and doing things I was able to do before the accident! I absolutely love the staff!! They are SUPER friendly and helpful!!
Kim Shine
16:31 21 Sep 18
This place is awesome! Highly recommend! Staff is as friendly and accommodating as they are professional. They always seem to target the right spots on my back and neck and I leave feeling relaxed and completely mobile. I swear I wouldn’t be walking today if it weren’t for them!
Mark Perini
21:25 20 Sep 18
The staff at North street physical medicine and rehabilitation are great. The doctors and staff are all very professional, knowledgeable, and experts in their respective specialty in the field of physical therapy.
Justine Vidro
20:02 20 Sep 18
The facility has really helped me with my deficits. The staff works well together and everyone is friendly. Appointments are easy to make and the front desk always tries to accomodate with your needs and schedule. Facility is always clean. They offer a number of services including physical therapy, chiropractor, massage and pain management. The physical therapy and chiropractor have helped me significantly, would highly recommend this place!
Lori Mooney
17:14 27 Jul 18
dalon1275
17:26 22 Mar 18
They are the nicest people... They help you How ever they can... They offer physical therapy, massage, TENS, and Acupuncture. I couldn't ask for a better group of people
Dhebora Arantes
20:07 18 Sep 17
James Karns
15:05 10 Jun 17
After a shoulder injury.. I enlisted their services. Notable improvements made. Great staff. This is an excellent establishment, I would strongly recommend.
Our Team of Specialists are Ready to Get You Started on Your Journey to Wellness.
Our Team of Specialists are Ready to Get You Started on Your Journey to Wellness.
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