Active NPI
PT Solutions LLC
- Physical Therapist
- Greeneville, TN
National Provider Identifier
1801418819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PT SOLUTIONS LLC
- Practice address
- 108 W Summer St
Greeneville, TN 37743-4924 - Phone
- (423) 972-4490
- Fax
- (423) 972-4489
- NPI assigned
- May 13, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- A'Nna Gaylord
- Title
- Credentialing Manager
- Phone
- (678) 981-3543
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160229001281 | TN | Part B Supplier - Clinic/Group Practice | 5496668667 |
Receives reassigned benefits from 13 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greeneville, TN; Kingsport, TN |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
108 W Summer St
Greeneville, TN 37743-4924
Mailing address
1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067
Phone (678) 981-3543
Other practice location 1
128 S Main St Ste 100
Greeneville, TN 37743-4943
Phone (423) 972-4490
Other names 1
NPPES NPI Registry- PT Solutions LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2022.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1801418819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CIRCLE 75 PKWY SE STE 1400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393067",
"telephone_number": "678-981-3543",
"fax_number": "678-567-6737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W SUMMER ST",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377434924",
"telephone_number": "423-972-4490",
"fax_number": "423-972-4489"
}
],
"practiceLocations": [
{
"address_1": "128 S Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377434943",
"country_code": "US",
"telephone_number": "423-972-4490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PT SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-13",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "GAYLORD",
"authorized_official_first_name": "A'NNA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "678-981-3543"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PT Solutions LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PT Solutions LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.