Grewal    Chandanpreet    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1063952646
Tax ID
352585937
Effective Date
3/10/2023
Last Updated
3/13/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1821 Beltline Road SW Suite B
Decatur, AL 35601
United States
Phone
256-584-1023 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address