Jonathan    Berry    OTR
Contract Details
TherapySouth
Facility name
Provider ID
P000000001
NPI
1073130357
Tax ID
205548746
Effective Date
2/15/2012
Last Updated
2/14/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3569 Pelham Parkway
Pelham, AL 35124
United States
Phone
205-664-8404 (Phone)
Billing Details
Address
3569 Pelham Parkway
Pelham, AL 35124
Billing Phone
205-664-8404
Specialty Type
Occupational Therapy
Website
Visit Website
Map
Address