Kayla    Chambers    RPT
Contract Details
ATI Physical Therapy
Facility name
Provider ID
P000000001
NPI
1881410447
Tax ID
352585937
Effective Date
12/4/2024
Last Updated
12/5/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1401 Doug Baker Blvd Suite 104
Birmingham, AL 35242
United States
Phone
205-730-3660 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
630-296-2222
Specialty Type
Physical Therapy
Map
Address