# THE PT BLUEPRINT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407613870
- **Authorized official:** DR. CODY GORDON GUNSELMAN PT, DPT, OCS (OWNER)
- **Authorized official phone:** (440) 225-1425

## Contact information

- **Practice address:** 5660 RIVERS AVE STE B, NORTH CHARLESTON, SC 29406-6092
- **Practice address phone:** (440) 225-1425
- **Mailing address:** 2816 HOUSTON ST, NORTH CHARLESTON, SC 29405-8630
- **Mailing address phone:** (440) 225-1425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 02/24/2026