Contract Details
ATI Holdings of Alabama, LLC
Facility name
ATI Physical Therapy
Provider ID
P000008688
NPI
1063952646
Tax ID
352585937
Effective Date
9/3/2019
Last Updated
10/8/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
100 Rice Mine Road Loop Suite 102
Tuscaloosa, AL 35406
United States
County
Tuscaloosa
Phone
2055393710 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Occupational Therapy Facility
Map
Address