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Katherine
Keyser
RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1538837398
Tax ID
352585937
Effective Date
8/21/2024
Last Updated
8/28/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
50 Commons Way Suite D
Oxford, AL 36203
United States
Phone
256-624-9722
(
Phone
)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
630-296-2222
Specialty Type
Physical Therapy
Map
Address