{"npi":"1548411234","type":"NPI-2","status":"active","name":{"display":"Magna Physical Therapy & Golf Medicine Center, LLC","other":[],"organization_name":"MAGNA PHYSICAL THERAPY & GOLF MEDICINE CENTER, LLC","authorised_official":"Brian Magna"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":"CT","license":"004285"}]},"addresses":[{"purpose":"LOCATION","street_1":"302 W MAIN ST","city":"AVON","state":"CT","postal_code":"060013681","country_code":"US","street_2":"SUITE 204","phone":"8606790430","fax":"8606790431"},{"purpose":"MAILING","street_1":"302 W MAIN ST","city":"AVON","state":"CT","postal_code":"060013681","country_code":"US","street_2":"SUITE 204","phone":"8606790430","fax":"8606790431"}],"license":{"state":"CT","number":"004285"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090219000180","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CT","pac_id":"6901983329"}]},"enumeration_date":"2008-10-01","last_updated":"2023-01-17","_meta":{"source":"NPPES","snapshot_date":"2023-01-17","doc_url":"https://findmynpi.com/api"}}