Healthcare Provider Details

I. General information

NPI: 1073558086
Provider Name (Legal Business Name): PT SOLUTIONS OF MONTGOMERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7061 HALYCYON SUMMIT
MONTGOMERY AL
36117-7708
US

IV. Provider business mailing address

PO BOX 96229
PHOENIX AZ
85072-6229
US

V. Phone/Fax

Practice location:
  • Phone: 334-396-2110
  • Fax: 334-396-2115
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 TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH1858
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CARMEN PHILPOT
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 678-403-3568