Contract Details
ATI Holdings of Alabama, LLC
Facility name
ATI Physical Therapy
Provider ID
P000008688
NPI
1063952646
Tax ID
352585937
Effective Date
10/23/2017
Last Updated
4/23/2018
Direct Contract
Yes
Term Date
10/24/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
106 6th Street Suite A
Oneonta, AL 35121
United States
County
Blount
Phone
2054603817 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address