Matthew    Kellum    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1669744454
Tax ID
352585937
Effective Date
10/25/2022
Last Updated
10/25/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1877 Cherokee Avenue SW
Cullman, AL 35055
United States
Phone
256-727-1701 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
630-296-2222
Specialty Type
Physical Therapy
Map
Address