Contract Details
Facility name
ATI Holdings of Alabama, LLC
Provider ID
P000000001
NPI
1063952646
Tax ID
35258593
Effective Date
5/22/2020
Last Updated
6/29/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
323 Fieldstown Road
Gardendale, AL 35071
United States
Phone
205-418-1482 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
360-296-2222
Specialty Type
Physical Therapy
Map
Address