MEDICARE: PT SOLUTIONS CHESTER, PLLC

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	261QP2000X	Physical Therapy Clinic/Center	2305005749	VA

General Provider Information

NPI Number	:	1821305145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PT SOLUTIONS CHESTER, PLLC

Provider Business Mailing Address
First Line	:	8201 ATLEE RD
Second Line	:	SUITE D
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-1815
Country	:	US
Telephone Number	:	804-569-1787
Fax Number	:	804-569-9787

Provider Business Practice Location Address
First Line	:	281 E HUNDRED RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2613
Country	:	US
Telephone Number	:	804-569-1787
Fax Number	:	804-569-9787

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALAN J PIETRUSZKIEWICZ
Credential	:	MSPT
Telephone Number	:	804-569-1787

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	09/08/2010

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