Provider Demographics
NPI:1144259334
Name:PHYSICAL THERAPY SOLUTIONS PLLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIETRUSZKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:804-569-1787
Mailing Address - Street 1:8201 ATLEE ROAD
Mailing Address - Street 2:SUITE D
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116
Mailing Address - Country:US
Mailing Address - Phone:804-569-1787
Mailing Address - Fax:804-569-9787
Practice Address - Street 1:8201 ATLEE ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116
Practice Address - Country:US
Practice Address - Phone:804-569-1787
Practice Address - Fax:804-569-9787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE5332OtherRR MEDICARE
VA192348OtherANTHEM BS
=========OtherINDEPENDENCE BCBS
DE5332OtherRR MEDICARE