Johnitia    Williams    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000009242
NPI
1649670621
Tax ID
352585937
Effective Date
9/16/2019
Last Updated
9/17/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
9256 Parkway East Suite A
Birmingham, AL 35206
United States
County
Jefferson
Phone
2058552003 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
6302962222
Specialty Type
Physical Therapy
Map
Address