Healthcare Provider Details

I. General information

NPI: 1972533974
Provider Name (Legal Business Name): PT SOLUTIONS OF MONTGOMERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2972 CARTER HILL ROAD
MONTGOMERY AL
36116-2430
US

IV. Provider business mailing address

PO BOX 441146
KENNESAW GA
30160-9522
US

V. Phone/Fax

Practice location:
  • Phone: 334-288-8358
  • Fax: 334-288-9681
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: CAMEN PHILPOT
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 678-403-3568