Contract Details
A Physiotherapy Associates Company
Facility name
Champion Sports Medicine & Rehabilitation Center
Provider ID
P000000001
NPI
1023299229
Tax ID
382617193
Effective Date
3/1/2020
Last Updated
2/10/2025
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
5295 Preserve Parkway Suite 280
Hoover, AL 35244
United States
Phone
205-988-8542 (Phone)
Billing Details
Address
3049 Highway 150
Suite 102
Indiana, PA 35244
Billing Phone
724-465-3496
Specialty Type
Physical Therapy
Map
Address