Provider Demographics
NPI:1962505743
Name:THERAPEUTIC SOLUTIONS, INC
Entity type:Organization
Organization Name:THERAPEUTIC SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT, CDT
Authorized Official - Phone:770-922-2420
Mailing Address - Street 1:1501 MILSTEAD RD NE
Mailing Address - Street 2:STE 170
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3838
Mailing Address - Country:US
Mailing Address - Phone:770-922-2420
Mailing Address - Fax:770-922-1096
Practice Address - Street 1:1501 MILSTEAD RD NE
Practice Address - Street 2:STE 170
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3838
Practice Address - Country:US
Practice Address - Phone:770-922-2420
Practice Address - Fax:770-922-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT001083225100000X, 2251G0304X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA460381266AMedicaid
GA116718Medicare Oscar/Certification
GA116718Medicare ID - Type UnspecifiedOUTPATIENT PHYSICAL THERA