Contract Details
Facility name
Independent Physical Therapy
Provider ID
P000000001
NPI
1780636068
Tax ID
270039366
Effective Date
6/1/2021
Last Updated
6/9/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
235 Ward Street W
Douglas, GA 31533
United States
Phone
912-525-5400 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Workers Comp Coordinator
workcomp@urpt.com
Map
Address