Contract Details
Southern Physical Rehab Network
Facility name
Fyzical Therapy & Balance Centers
Provider ID
P000007418
NPI
1588697676
Tax ID
200334591
Effective Date
1/1/2004
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
11/1/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2691 Pelham Parkway
Pelham, AL 35124
United States
County
Shelby
Phone
2056851822 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address