Mason    Lee    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1063245538
Tax ID
352585937
Effective Date
8/29/2024
Last Updated
9/3/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1451 Dr Edward Hillard Drive Suite 130
Tuscaloosa, AL 35401
United States
Phone
205-561-5899 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address