Todd    Hooks    RPT
Contract Details
Optima Physical Therapy
Facility name
Provider ID
P000000001
NPI
1093734105
Tax ID
932202522
Effective Date
9/1/2023
Last Updated
7/12/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
10 Office Park Circle Suite 100
Mountain Brook, AL 35223
United States
Phone
205-229-9309 (Phone)
Billing Details
Address
10 Office Park Circle
Suite 100
Mountain Brook, AL 35223
Billing Phone
205-229-9309
Specialty Type
Physical Therapy
Map
Address