Provider Demographics
NPI:1548308703
Name:RIDGEFIELD PHYSICAL THERAPY
Entity type:Organization
Organization Name:RIDGEFIELD PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:LINDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DC
Authorized Official - Phone:201-945-2955
Mailing Address - Street 1:663 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-1521
Mailing Address - Country:US
Mailing Address - Phone:201-945-2955
Mailing Address - Fax:201-945-4277
Practice Address - Street 1:663 GRAND AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-1521
Practice Address - Country:US
Practice Address - Phone:201-945-2955
Practice Address - Fax:201-945-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00137400261QP2000X
NJ40QA00149300261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ093183Medicare PIN