William    Heartsill    RPT
Contract Details
Results Physical Therapy
Facility name
Provider ID
P000000001
NPI
1366286882
Tax ID
371349655
Effective Date
8/1/2024
Last Updated
8/16/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5541 Grove Blvd Suite C2
Hoover, AL 35226
United States
Phone
205-277-6870 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address