Healthcare Provider Details

I. General information

NPI: 1922038934
Provider Name (Legal Business Name): PT SOLUTIONS OF ACWORTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4272 WASHINGTON RD STE 3
EVANS GA
30809-3073
US

IV. Provider business mailing address

PO BOX 96227
PHOENIX AZ
85072-6227
US

V. Phone/Fax

Practice location:
  • Phone: 762-215-9771
  • Fax: 762-215-9730
Mailing address:
  • Phone: 678-981-3543
  • Fax: 404-777-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANNA GAYLORD
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 678-837-7176