Andrew Lane    Hutchinson    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000815
NPI
1144526203
Tax ID
352585937
Effective Date
10/29/2018
Last Updated
10/8/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2804 John Hawkins Pkwy Suite 104
Hoover, AL 35244
United States
County
Jefferson
Phone
2052017747 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address