Healthcare Provider Details

I. General information

NPI: 1861946329
Provider Name (Legal Business Name): PT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2016
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 HOLSTON RD
WYTHEVILLE VA
24382-4107
US

IV. Provider business mailing address

PO BOX 96232
PHOENIX AZ
85072-6232
US

V. Phone/Fax

Practice location:
  • Phone: 276-277-7900
  • Fax:
Mailing address:
  • Phone: 770-917-1395
  • Fax: 770-423-3369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KELLEN JAMESON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 678-932-3629