Provider Demographics
NPI:1285733022
Name:LINDEMANN, RAYMOND W JR (LPT)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:W
Last Name:LINDEMANN
Suffix:JR
Gender:M
Credentials:LPT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6480 HARRISON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7961
Mailing Address - Country:US
Mailing Address - Phone:513-713-1779
Mailing Address - Fax:513-854-9921
Practice Address - Street 1:3205 WOODMAN DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45420-1143
Practice Address - Country:US
Practice Address - Phone:937-298-8260
Practice Address - Fax:937-298-8260
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT001675225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0542283Medicaid
OH126332170675OtherHUMANA
OH31097986600OtherBWC
OH0994730001OtherMEDICARE DME
OH650010124OtherRR MEDICARE
OH000000008219OtherANTHEM DME
OH310979866026OtherCARESOURCE
OH000000008368OtherANTHEM
OH365572300OtherUS DEPT OF LABOR
OH650010124OtherRR MEDICARE
OH0994730001OtherMEDICARE DME
OH9312523Medicare PIN
OH9312524Medicare PIN