Contract Details
ATI Holdings of Alabama, LLC
Facility name
ATI Physical Therapy
Provider ID
P000008688
NPI
1063952646
Tax ID
352585937
Effective Date
6/19/2017
Last Updated
7/26/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
833 St. Vincent's Drive Unit 1, Suite 100
Birmingham, AL 35205
United States
County
Jefferson
Phone
2057303190 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address