Shelby    Stanaland    OTR
Contract Details
Millennium Physical Therapy
Facility name
Provider ID
P000000001
NPI
1750059556
Tax ID
320223037
Effective Date
6/1/2022
Last Updated
6/17/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3090 Healthy Way
Vestavia Hills, AL 35243
United States
Phone
205-481-9012 (Phone)
Billing Details
Address
4847 Promenade Pkwy
Suite 102
Bessemer, AL 35022
Billing Phone
Specialty Type
Occupational Therapy
Website
Map
Address