Karen    Vaughn    RPT
Contract Details
Millennium Physical Therapy
Facility name
Provider ID
P000000001
NPI
1336630755
Tax ID
320223037
Effective Date
11/17/2021
Last Updated
11/19/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4847 Promenade Pkwy Suite 102
Bessemer, AL 35022
United States
Phone
205-481-9012 (Phone)
Billing Details
Address
4847 Promenade Pkwy
Suite 102
Bessemer, AL 35022
Billing Phone
205-481-9012
Specialty Type
Physical Therapy
Map
Address