Healthcare Provider Details

I. General information

NPI: 1831643394
Provider Name (Legal Business Name): PT SOLUTIONS OF ACWORTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2016
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 KNOX AVE SUITE 100
NORTH AUGUSTA SC
29841-4022
US

IV. Provider business mailing address

PO BOX 96227
PHOENIX AZ
85072-6227
US

V. Phone/Fax

Practice location:
  • Phone: 678-932-3629
  • Fax:
Mailing address:
  • Phone: 770-917-1395
  • Fax: 770-423-3369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER L. HALL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 678-932-3629