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Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000007528
NPI
1508165218
Tax ID
352585937
Effective Date
11/29/2018
Last Updated
11/29/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
50 Commons Way Suite D
Oxford, AL 36203
United States
County
Calhoun
Phone
2566249722 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address