Jennifer    Adams    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000009404
NPI
1043702152
Tax ID
352585937
Effective Date
5/14/2018
Last Updated
9/17/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
100 Rice Mine Road Suite 102
Tuscaloosa, AL 35406
United States
County
Tuscaloosa
Phone
2055393710 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address