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Shondarria
Nunn
RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1740829332
Tax ID
352585937
Effective Date
6/24/2021
Last Updated
6/30/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1147 US Hwy 231 S Suite 9
Troy, AL 36081
United States
Phone
334-465-8000
(
Phone
)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address