Eric    Booth    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1093195950
Tax ID
352585937
Effective Date
10/23/2024
Last Updated
10/28/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
100 Rice Mine Road Loop Suite 102
Tuscaloosa, AL 35406
United States
Phone
205-539-3710 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
630-296-2222
Specialty Type
Physical Therapy
Map
Address