Contract Details
Facility name
Independent Physical Therapy
Provider ID
P000000001
NPI
1104878354
Tax ID
621754125
Effective Date
8/1/2021
Last Updated
8/12/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_459
Location Details
Address
235 E Main Street
McMinnville, TN 37110
United States
Phone
931-488-8511 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Workers Comp Coordinator
Lauren
Larkey
800-578-1104
workcomp@urpt.com
Map
Address