Healthcare Provider Details

I. General information

NPI: 1962956367
Provider Name (Legal Business Name): PT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 PEOPLES ST
JOHNSON CITY TN
37604-4130
US

IV. Provider business mailing address

PO BOX 96232
PHOENIX AZ
85072-6232
US

V. Phone/Fax

Practice location:
  • Phone: 423-454-1006
  • Fax: 423-405-1029
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
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANNA GAYLORD
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 678-837-7176