James    Deloach    OTR
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1063952646
Tax ID
352585937
Effective Date
9/8/2021
Last Updated
9/8/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
634 1st Street North
Alabaster, AL 35007
United States
Phone
205-728-2535 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
630-296-2222
Specialty Type
Physical Therapy
Map
Address