MEDICARE: PT SOLUTIONS HOLDINGS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1689013419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PT SOLUTIONS HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 96222
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85072-6222
Country	:	US
Telephone Number	:	770-917-1395
Fax Number	:	770-423-3369

Provider Business Practice Location Address
First Line	:	2344 ELKHORN RD STE 150
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2786
Country	:	US
Telephone Number	:	859-788-2369
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	ANNA GAYLORD
Credential	:
Telephone Number	:	678-837-7176

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	01/07/2026

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Directions to “PT SOLUTIONS HOLDINGS, LLC ” Practice Location

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