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Jenna
Ewing
RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1255155404
Tax ID
352585937
Effective Date
11/21/2024
Last Updated
11/25/2024
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
1451 Dr Edward Hillard Drive
Suite 130
Tuscaloosa, AL 35401
Billing Phone
205-561-5899
Specialty Type
Physical Therapy
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