Alyssa    Moss    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000009209
NPI
1598247538
Tax ID
352585937
Effective Date
8/29/2018
Last Updated
5/31/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
7201 Happy Hollow Road Ste 101
Trussville, AL 35173
United States
County
Jefferson
Phone
2055082279 (Phone)
Billing Details
Address
7201 Happy Hollow Road
Ste 101
Chicago, IL 35173
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address