Healthcare Provider Details

I. General information

NPI: 1033997754
Provider Name (Legal Business Name): SOLUTIONS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6466 INTERSTATE CT
HANNIBAL MO
63401-6759
US

IV. Provider business mailing address

804 STATE ST UNIT 3
QUINCY IL
62301-4968
US

V. Phone/Fax

Practice location:
  • Phone: 573-501-3360
  • Fax:
Mailing address:
  • Phone: 217-335-9235
  • 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 Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYLEY R SMITH
Title or Position: OWNER
Credential: DPT
Phone: 217-335-9235