Joseph    Metz    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000008763
NPI
1114097540
Tax ID
352585937
Effective Date
4/30/2018
Last Updated
7/3/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
124 W Grand Avenue Suite A-4
Rainbow City, AL 35906
United States
County
Etowah
Phone
2562959048 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address