Ronald  T  Richardson    RPT
Contract Details
TherapySouth--Birmingham-Hoover
Facility name
Provider ID
P000001461
NPI
1972617389
Tax ID
205370140
Effective Date
2/15/2012
Last Updated
1/30/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3421 South Shades Crest Road Suite 107
Birmingham, AL 35244
United States
County
Jefferson
Phone
2059876501 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
0254081713
Specialty Type
Physical Therapy
Map
Address