Jennifer    Knowlton    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000009196
NPI
1588603807
Tax ID
352585937
Effective Date
11/1/2019
Last Updated
12/3/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1301-A Brdige Creek Drive NE
Cullman, AL 35055
United States
County
Cullman
Phone
2568413105 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
6302962222
Specialty Type
Physical Therapy
Map
Address