Longevity Performance & Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

012594 Issued in OH

Legal business name

LONGEVITY PERFORMANCE & PHYSICAL THERAPY

Practice address

560 Scenic LN
Seven Hills, OH 44131-3867

Phone

(440) 667-9947

NPI assigned

Aug 24, 2017

Last updated

Aug 24, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Magat, DPT, ATC, MS, CSCSNPI 1912230111

Title

Physical Therapist

Phone

(440) 667-9947

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Q Magat, PT

  • Physical Therapist
  • Beachwood, OH
  • NPI 1912230111
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1164949897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SCENIC LN",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441313867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SCENIC LN",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441313867",
            "telephone_number": "440-667-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY PERFORMANCE & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "MAGAT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "440-667-9947",
        "authorized_official_credential": "DPT, ATC, MS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "012594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lander, MSN/CNP
• Bridget Kelly Larson
• Caitlin Lee
• Life Choice Hospice of Ohio LLC (Mercy Health Hospice by Compassus)
• Jill A Lipcsik, LISW
• Michael O Maly, LPCC
• Maryann Mantkowski
• Joshua Matthews
• Nicolette Maurer, CT
• Kaitlyn McCarthy

• Physical Therapy Clinic/Center in Seven Hills, OH
• Providers in Seven Hills, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.