Contract Details
ATI Holdings, LLC
Facility name
ATI Physical Therapy
Provider ID
P000008688
NPI
1063952646
Tax ID
621488455
Effective Date
1/17/2018
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
721 Louisville Road
Alcoa, TN 37701
United States
County
Blount
Phone
8652732802 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
Specialty Type
Physical Therapy
Map
Address