Basic Information
| Provider Information | |||||||||
| NPI: | 1144486549 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SOLUTIONS PHYSICAL THERAPY & SPORTS MEDICINE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 225 REINEKERS LN | ||||||||
| Address2: | STE GR 4 | ||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032993111 | ||||||||
| FaxNumber: | 7032991556 | ||||||||
| Practice Location | |||||||||
| Address1: | 225 REINEKERS LN | ||||||||
| Address2: | STE GR 4 | ||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032993111 | ||||||||
| FaxNumber: | 7032991556 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2008 | ||||||||
| LastUpdateDate: | 01/20/2016 | ||||||||
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| AuthorizedOfficialLastName: | SMITH | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7032993111 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.