Provider Demographics
NPI:1841405941
Name:LINDER PHYSICAL THERAPY & REHABILITATION, P.C.
Entity Type:Organization
Organization Name:LINDER PHYSICAL THERAPY & REHABILITATION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANJITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:517-321-7809
Mailing Address - Street 1:7201 W SAGINAW HWY
Mailing Address - Street 2:STE. 205
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-1131
Mailing Address - Country:US
Mailing Address - Phone:517-321-7809
Mailing Address - Fax:517-321-7860
Practice Address - Street 1:7201 W SAGINAW HWY
Practice Address - Street 2:STE. 205
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-1131
Practice Address - Country:US
Practice Address - Phone:517-321-7809
Practice Address - Fax:517-321-7860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI15547OtherMCARE
MI1003673OtherMCLAREN
MI30674OtherBLUECROSSBLUESHIELDOFMI
MI200000000526OtherPHYSICIANSHEALTHPLAN
MI40-4769029Medicaid
MI40-4769029Medicaid