Contract Details
Ancillary Care Services
Facility name
Amarillo Physical Therapy Services
Provider ID
P000003780
NPI
1083710040
Tax ID
752256044
Effective Date
4/1/2012
Last Updated
11/1/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
3420 Thornton Drive
Amarillo, TX 79109
United States
County
Randall
Phone
8063586847 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address