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
3309 Cummings Highway Suite D
Chattanooga, TN 37419
United States
County
Hamilton
Phone
4234861359 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address