Tiffany    Matthews    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1356041644
Tax ID
352585937
Effective Date
3/16/2023
Last Updated
3/16/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
550 Fieldstown Road Suite 105
Gardendale, AL 35071
United States
Phone
205-418-1482 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address