Healthcare Provider Details

I. General information

NPI: 1679115646
Provider Name (Legal Business Name): PT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 02/14/2020
Certification Date: 02/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 SPRING HILL RD STE 202
MC LEAN VA
22102-3026
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 571-765-1730
  • Fax: 571-765-1731
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: CARMEN PHILPOT
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 678-403-3568