Healthcare Provider Details

I. General information

NPI: 1457025942
Provider Name (Legal Business Name): SOLUTIONS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 STATE ST UNIT 3
QUINCY IL
62301-4968
US

IV. Provider business mailing address

804 STATE STREET, UNIT 3 STATE AND 8TH PLAZA
QUINCY IL
62301
US

V. Phone/Fax

Practice location:
  • Phone: 217-335-9235
  • Fax: 217-335-4012
Mailing address:
  • Phone: 217-357-4191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: RYLEY SMITH
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 217-357-4191