Emily    Jones    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000009232
NPI
1184085953
Tax ID
352585937
Effective Date
3/19/2018
Last Updated
8/8/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
4825 Montgomery Hwy Suite 103
Dothan, AL 36303
United States
County
Houston
Phone
3345001139 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address