Adrienne    Montgomery    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000000001
NPI
1750891032
Tax ID
352585937
Effective Date
4/13/2022
Last Updated
4/15/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
5431 Patrick Way Suite 101
Birmingham, AL 35235
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