Healthcare Provider Details

I. General information

NPI: 1235180548
Provider Name (Legal Business Name): PT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 UNDERPASS DR STE B
ONEIDA TN
37841-5885
US

IV. Provider business mailing address

PO BOX 96232
PHOENIX AZ
85072-6232
US

V. Phone/Fax

Practice location:
  • Phone: 678-521-6613
  • Fax:
Mailing address:
  • Phone: 678-459-3758
  • 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