Contract Details
Align Networks, Inc.
Facility name
ACT Physical Therapy
Provider ID
P000001934
NPI
1326133463
Tax ID
043821114
Effective Date
2/2/2012
Last Updated
4/12/2018
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
919 Sharit Avenue Suite 101
Gardendale, AL 35071
United States
County
Jefferson
Phone
8663890211 (Phone)
Billing Details
Address
P.O. Box 402355
Atlanta, GA 30384
Billing Phone
8663890211
Specialty Type
Physical Therapy
Map
Address