Healthcare Provider Details

I. General information

NPI: 1972834141
Provider Name (Legal Business Name): PT SOLUTIONS MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7061 HALCYON SUMMIT DR
MONTGOMERY AL
36117
US

IV. Provider business mailing address

1100 CIRCLE 75 PKWY SE STE 1400
ATLANTA GA
30339-3067
US

V. Phone/Fax

Practice location:
  • Phone: 334-396-2110
  • Fax: 334-396-2115
Mailing address:
  • Phone: 678-981-3543
  • Fax: 770-423-3369

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: MR. KELLEN JAMESON
Title or Position: MANAGING EMPLOYEE
Credential:
Phone: 678-981-3543