Daniel    Eck    RPT
Contract Details
Peak Performance Physical Therapy
Facility name
Provider ID
P000008497
NPI
1386079739
Tax ID
721602437
Effective Date
9/1/2016
Last Updated
9/22/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
48 Market Square
Rogersville, AL 35652
United States
County
Lauderdale
Phone
2562475000 (Phone)
Billing Details
Address
851 Cox Creek Parkway
Florence, AL 35630
Billing Phone
2567644242
Specialty Type
Physical Therapy
Map
Address