Healthcare Provider Details

I. General information

NPI: 1184190167
Provider Name (Legal Business Name): PT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 TUSCULUM BLVD UNIT 9
GREENEVILLE TN
37745-4236
US

IV. Provider business mailing address

PO BOX 724557
ATLANTA GA
31139-1557
US

V. Phone/Fax

Practice location:
  • Phone: 423-798-8420
  • Fax: 423-798-8422
Mailing address:
  • Phone: 678-403-3568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CARMEN PHILPOT
Title or Position: DIRECTOR REVENUE CYCLE
Credential:
Phone: 678-403-3568