Contract Details
Community Physical Therapy & Associates Ltd
Facility name
Community Physical Therapy & Associates Ltd
Provider ID
P000004202
NPI
1285731547
Tax ID
363444309
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
750 Fletcher Dr Suite 105
Elgin, IL 60123
United States
County
Kane
Phone
8478889210 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address