Contract Details
Facility name
ATI Physical Therapy
Provider ID
P000000001
NPI
1063952646
Tax ID
352585937
Effective Date
9/3/2019
Last Updated
8/29/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1337 Montclair Road Suite 104
Birmingham, AL 35210
United States
Phone
205-986-0169 (Phone)
Billing Details
Address
P.O. Box 74008705
Chicago, IL 60674
Billing Phone
3602962222
Specialty Type
Physical Therapy
Map
Address