Healthcare Provider Details

I. General information

NPI: 1730439092
Provider Name (Legal Business Name): PT SOLUTIONS OF PENSACOLA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 CORPORATE WOODS SUITE 300
PENSACOLA FL
32503-8974
US

IV. Provider business mailing address

PO BOX 96231
PHOENIX AZ
85072-6231
US

V. Phone/Fax

Practice location:
  • Phone: 678-932-3629
  • Fax: 850-912-6843
Mailing address:
  • Phone: 678-981-3543
  • Fax: 404-777-1311

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: ANNA GAYLORD
Title or Position: MANAGER
Credential:
Phone: 678-981-3543