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Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1346916525
Tax ID
352585937
Effective Date
8/20/2024
Last Updated
8/21/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
76359 AL Highway 77 Suite B
Lincoln, AL 35096
United States
Phone
205-666-5511 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address