Annie  E  Kennedy    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1427704378
Tax ID
352585937
Effective Date
11/9/2023
Last Updated
11/13/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
76359 AL Highway 77 Suite B
Lincoln, AL 35096
United States
Phone
205-666-5511 (Phone)
Billing Details
Address
76359 Al Highway 77
Suite B
Lincoln, AL 35096
Billing Phone
205-666-5511
Specialty Type
Physical Therapy
Map
Address