Jacob    Wipperman    RPT
Contract Details
Results Physiotherapy
Facility name
Provider ID
P000000001
NPI
1518709757
Tax ID
371349655
Effective Date
8/1/2024
Last Updated
8/6/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
750 Colonial Promonade Parkway Suite 400
Alabaster, AL 35007
United States
Phone
205-358-1040 (Phone)
Billing Details
Address
750 Colonial Promonade Parkway
Suite 400
Alabaster, AL 35007
Billing Phone
205-358-1040
Specialty Type
Physical Therapy
Map
Address