MAGNA PHYSICAL THERAPY & GOLF MEDICINE CENTER, LLC
NPI 1548411234
Clinic/Center - Physical Therapy in Avon, CT

Q: What is Magna Physical Therapy & Golf Medicine Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Active since October 01, 2008

302 W MAIN ST, SUITE 204, AVON, CT 06001(860) 679-0430(860) 679-0431 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2023, Dec 22, 2022 (2 updates tracked since 2022).

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About Magna Physical Therapy & Golf Medicine Center, Llc NPPES

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

MAGNA PHYSICAL THERAPY & GOLF MEDICINE CENTER, LLC (NPI 1548411234) is a healthcare organization registered as a physical therapy in Avon, Connecticut and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Canton and lists Brian Albert Magna, Owner, as its authorized official.

NPPES Registry Identity

NPI1548411234

Entity TypeOrganization

Primary Taxonomy261QP2000X

Legal Business NameMAGNA PHYSICAL THERAPY & GOLF MEDICINE CENTER, LLC

Location Address302 W MAIN ST, SUITE 204Avon, CT 06001-3681

Mailing Address302 W Main St, Suite 204Avon, CT 06001-3681 · (860) 679-0430 · Fax (860) 679-0431

Phone(860) 679-0430

Fax(860) 679-0431

Organization SubpartNo

Authorized OfficialBrian Albert MagnaOwner · (860) 679-0430

Enumeration DateOctober 1, 2008

Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2023

✔ NPI 1548411234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities

Taxonomy Code261QP2000X

License✔ Licensed in CT · 004285

Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

302 W MAIN ST, Avon, CT 06001

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Secondary Practice Location 1

Location 161 Maple Ave, Ste. 2Canton, CT 06019-3058 · Phone (860) 352-2463 · Fax (860) 352-8247

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magna Physical Therapy & Golf Medicine Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Magna Physical Therapy & Golf Medicine Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.