Cory    Stephens    RPT
Contract Details
Tradition Physical Therapy
Facility name
Provider ID
P000000001
NPI
1720503022
Tax ID
522368011
Effective Date
4/2/2024
Last Updated
4/3/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
2321 John Hawkins Parkway Suite 119
Hoover, AL 35244
United States
Phone
205-409-0120 (Phone)
Billing Details
Address
2321 John Hawkins Parkway
Suite 119
Hoover, AL 35244
Billing Phone
205-409-0120
Specialty Type
Physical Therapy
Map
Address