Alex    Woodard    RPT
Contract Details
P4 Physical Therapy
Facility name
Provider ID
P000000001
NPI
1255949020
Tax ID
883148972
Effective Date
2/7/2024
Last Updated
2/12/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2122 Helton Drive
Florence, AL 35630
United States
Phone
256-980-1310 (Phone)
Billing Details
Address
8059 Mitchell Lane
Birmingham, AL 35216
Billing Phone
205-607-0632
Specialty Type
Physical Therapy
Map
Address