MEDICARE: RIDGEFIELD PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	40QA00137400	NJ
2	261QP2000X	Physical Therapy Clinic/Center	40QA00149300	NJ

General Provider Information

NPI Number	:	1548308703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDGEFIELD PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	663 GRAND AVE
Second Line	:
City	:	RIDGEFIELD
State	:	NJ
Zip	:	07657-1521
Country	:	US
Telephone Number	:	201-945-2955
Fax Number	:	201-945-4277

Provider Business Practice Location Address
First Line	:	663 GRAND AVE
Second Line	:
City	:	RIDGEFIELD
State	:	NJ
Zip	:	07657-1521
Country	:	US
Telephone Number	:	201-945-2955
Fax Number	:	201-945-4277

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES F LINDER
Credential	:	P.T., D.C.
Telephone Number	:	201-945-2955

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	11/19/2008

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Directions to “RIDGEFIELD PHYSICAL THERAPY ” Practice Location

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