Eric    Booth    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1093195950
Tax ID
352585937
Effective Date
5/26/2020
Last Updated
6/19/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
636 Montgomery Highway
Vestavia Hills, AL 35216
United States
Phone
205-508-2277 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address