Healthcare Provider Details

I. General information

NPI: 1801418819
Provider Name (Legal Business Name): PT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W SUMMER ST
GREENEVILLE TN
37743-4924
US

IV. Provider business mailing address

1100 CIRCLE 75 PKWY SE STE 1400
ATLANTA GA
30339-3067
US

V. Phone/Fax

Practice location:
  • Phone: 423-972-4490
  • Fax: 423-972-4489
Mailing address:
  • Phone: 678-981-3543
  • Fax: 678-567-6737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: A'NNA GAYLORD
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 678-981-3543