Derek    Little    RPT
Contract Details
PT Solutions Management, LLC
Facility name
Provider ID
P000009288
NPI
1356503387
Tax ID
270202352
Effective Date
8/15/2010
Last Updated
7/3/2019
Direct Contract
Yes
Term Date
1/31/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6249 Highway 231
Wetumpka, AL 36092
United States
County
Elmore
Phone
3345140817 (Phone)
Billing Details
Address
P.O. Box 242757
Montgomery, AL 36124
Billing Phone
3345140817
Specialty Type
Physical Therapy
Map
Address