MR. KEVIN LINDE (NPI# 1760404719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760404719 |
Entity Type | Individual |
Full Name | MR. KEVIN LINDE |
Credential | L.P.T. |
Practice Address |
3913 Old Lee Hwy Suite 31c Fairfax VA 22030-2433 |
Mailing Address |
10114 Ratcliffe Manor Dr Fairfax VA 22030-2427 |
Practice Telephone | 7038772224 |
Practice Fax Number | 7032771962 |
Mailing Telephone | 7033837742 |
Mailing Fax Number | 7032771962 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2305006734 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | CARE FIRST | J2990001 | 01 |
VA | ANTHEM | 192764 | 01 |
VA | AETNA | 7460488 | 01 |
Street Address |
3913 OLD LEE HWY SUITE 31C |
City | FAIRFAX |
State | VA |
Zip Code | 22030-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295932119 | Linde Physical Therapy Inc. | Physical Therapist | 3913 Old Lee Hwy, Suite 31c, Fairfax, VA 22030-2433 | 2007-07-03 |
1780804682 | Nicholas James Morrow | Chiropractor | 3913 Old Lee Hwy, Ste# 31d, Fairfax, VA 22030-2433 | 2007-04-26 |
1790908911 | Lucy Banks | Social Worker | 3913 Old Lee Hwy, Suite 32a, Fairfax, VA 22030-2433 | 2007-04-10 |
1760506075 | Nancy Newport | Counselor | 3913 Old Lee Hwy, Suite 32a, Fairfax, VA 22030-2433 | 2007-03-19 |
1619029642 | Debby Alisha Linde | Psychiatry & Neurology | 3913 Old Lee Hwy, 31c, Fairfax, VA 22030-2433 | 2007-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508393174 | Orthocare Physical Therapy Center, LLC | Physical Therapist | 13135 Lee Jackson Memorial Hwy Ste 320, Fairfax, VA 22033-1907 | 2017-05-15 |
1326137712 | Stephanie James Harris | Physical Therapist | 4211 Fairfax Corner Ave E, Suite 200, Fairfax, VA 22030-8622 | 2006-10-12 |
1972120061 | Minh Phan | Physical Therapist | 10260 Main St, Fairfax, VA 22030-2404 | 2020-07-06 |
1164941845 | Hayley Hammond | Physical Therapist | 9860 Fairfax Blvd Ste 1, Fairfax, VA 22030-1702 | 2017-09-14 |
1346781192 | Maria Antonette Aspa | Physical Therapist | 11350 Random Hills Rd, Suite 800, Fairfax, VA 22030-6044 | 2017-03-13 |
1376908624 | Set Sports Physical Therapy, LLC | Physical Therapist | 3025 Hamaker Ct Ste 103, Fairfax, VA 22031-2221 | 2015-12-30 |
1316313257 | Lauren Simpkins | Physical Therapist | 8501 Arlington Blvd Ste 400, Fairfax, VA 22031-4625 | 2015-08-14 |
1548640287 | Gina Decaro | Physical Therapist | 8301 Arlington Blvd, Suite 209, Fairfax, VA 22031-2902 | 2015-06-08 |
1245652627 | Lindsey Rolinski | Physical Therapist | 11240 Waples Mill Rd, #202, Fairfax, VA 22030-6078 | 2014-01-20 |
1871716563 | Fairfax Physical Therapy, Incorporated | Physical Therapist | 10525 West Dr, Fairfax, VA 22030-4230 | 2007-04-11 |
Find all providers in FAIRFAX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.