Amanda    Rice    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1184499725
Tax ID
352585937
Effective Date
11/28/2023
Last Updated
11/28/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
100 Rice Mine Loop Suite 102
Tuscaloosa, AL 35406
United States
Phone
205-539-3710 (Phone)
Billing Details
Address
100 Rice Mine Loop
Suite 102
Tuscaloosa, AL 35406
Billing Phone
205-539-3710
Specialty Type
Physical Therapy
Map
Address