Contract Details
A Physiotherapy Associates Company
Facility name
Matrix Rehabilitation-Georgia, Inc.
Provider ID
P000008746
NPI
1053342444
Tax ID
582554073
Effective Date
6/9/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2799 Lawrenceville Hwy Suite 205
Decatur, GA 30033
United States
County
DeKalb
Phone
7704910920 (Phone)
Billing Details
Address
P.O. Box 1140
Drawer 0981
Birmingham, AL 35246
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address