Healthcare Provider Details

I. General information

NPI: 1053696732
Provider Name (Legal Business Name): PT SOLUTIONS MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2011
Last Update Date: 04/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7057 HALYCON SUMMIT DRIVE
MONTGOMERY AL
36117-6927
US

IV. Provider business mailing address

PO BOX 441146
KENNESAW GA
30160-9522
US

V. Phone/Fax

Practice location:
  • Phone: 334-625-5809
  • Fax: 334-271-2555
Mailing address:
  • Phone: 678-459-3758
  • Fax: 678-567-6737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER HALL
Title or Position: CFO
Credential:
Phone: 770-615-4856