Jon    Lamb    RPT
Contract Details
Millennium Physical Therapy
Facility name
Provider ID
P000000955
NPI
1982639845
Tax ID
320223037
Effective Date
9/15/2008
Last Updated
8/26/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4847 Promenade Parkway Suite 102
Bessemer, AL 35022
United States
County
Jefferson
Phone
2054819012 (Phone)
Billing Details
Address
4847 Promenade Parkway
Suite 102
Bessemer, AL 35022
Billing Phone
2054819012
Specialty Type
Physical Therapy
Map
Address