Contract Details
ATI Holdings of Alabama, LLC
Facility name
ATI Physical Therapy
Provider ID
P000008688
NPI
1063952646
Tax ID
352585937
Effective Date
6/24/2019
Last Updated
6/25/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
301 Huntley Parkway
Pelham, AL 35124
United States
County
Shelby
Phone
2055649117 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address