Mikaelah    Gallardo    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1467009860
Tax ID
352585937
Effective Date
11/1/2024
Last Updated
11/15/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
7201 Happy Hollow Road Suite 202-B
Trussville, AL 35173
United States
Phone
205-508-2279 (Phone)
Billing Details
Address
7201 Happy Hollow Road
Trussville, AL 35173
Billing Phone
205-508-2279
Specialty Type
Physical Therapy
Map
Address