Brian Albert Magna Sr., P.T.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

004285 Issued in CT

Practice address

302 W. Main Street
Suite 152
Avon, CT 06001

Phone

(860) 679-0430

Fax

(860) 679-0431

NPI assigned

Feb 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magna Physical Therapy and Golf Medicine Center, LLCGroup PAC ID 6901983329, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magna Physical Therapy & Golf Medicine Center, LLC

  • Physical Therapy Clinic/Center
  • Avon, CT
  • NPI 1548411234
  Medicare reassignment Care Compare group NPD Authorized official
• United Helpers Cedars Nursing Home Inc

  • Skilled Nursing Facility
  • Ogdensburg, NY
  • NPI 1437145026
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194851444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W. MAIN STREET",
            "address_2": "SUITE 152",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-679-0430",
            "fax_number": "860-679-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W. MAIN STREET",
            "address_2": "SUITE 152",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-679-0430",
            "fax_number": "860-679-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNA",
        "first_name": "BRIAN",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "004285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynch
• Marianne Robinson Macdonald
• Sally Elizabeth Machin, ND
• Kaitlin Magalnick, LCSW
• Magna Physical Therapy & Golf Medicine Center, LLC
• Sammy Maina, OWNER
• Pamela Carol Malchoff, O.D.
• Toni Joan Malley, LPC
• Aristotelis Marinis, DMD,DDS, MS, FACP
• Mary Marlowe

• Physical Therapy Clinic/Center in Avon, CT
• Providers in Avon, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.