Joseph    Elmer    RPT
Contract Details
ATI Holdings of Alabama, LLC
Facility name
Provider ID
P000000001
NPI
1063952646
Tax ID
352585937
Effective Date
8/2/2022
Last Updated
8/11/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
9256 Parkway East Suite A
Birmingham, AL 35206
United States
Phone
205-855-2003 (Phone)
Billing Details
Address
9256 Parkway East
Suite A
Birmingham, AL 35206
Billing Phone
205-855-2003
Specialty Type
Physical Therapy
Map
Address