Michael    Kinne    RPT
Contract Details
Shelby County Physical Therapy
Facility name
Provider ID
P000000001
NPI
1861438038
Tax ID
882502831
Effective Date
1/16/2023
Last Updated
3/2/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
101 Carrington Lane
Calera, AL 35040
United States
Phone
205-746-7339 (Phone)
Billing Details
Address
101 Carrington Lane
Calera, AL 35040
Billing Phone
205-746-7339
Specialty Type
Physical Therapy
Map
Address