Contract Details
ACT Physical Therapy
Facility name
ACT Physical Therapy
Provider ID
P000001934
NPI
1326133463
Tax ID
270134113
Effective Date
1/1/2018
Last Updated
9/10/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
100 Bowling Lane Suite 132
Pelham, AL 35124
United States
County
Shelby
Phone
2056242436 (Phone)
Billing Details
Address
100 Bowling Lane
Suite 132
Pelham, AL 35124
Billing Phone
2056242436
Specialty Type
Physical Therapy
Map
Address