Provider Demographics
NPI:1295932119
Name:LINDE PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:LINDE PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDE
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:703-877-2224
Mailing Address - Street 1:3913 OLD LEE HWY
Mailing Address - Street 2:SUITE 31C
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2433
Mailing Address - Country:US
Mailing Address - Phone:703-877-2224
Mailing Address - Fax:703-277-1962
Practice Address - Street 1:3913 OLD LEE HWY
Practice Address - Street 2:SUITE 31C
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2433
Practice Address - Country:US
Practice Address - Phone:703-877-2224
Practice Address - Fax:703-277-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG01319Medicare ID - Type Unspecified