Contract Details
A Physiotherapy Associates Company
Facility name
Matrix Rehabilitation-Georgia, Inc.
Provider ID
P000008758
NPI
1376574764
Tax ID
582554073
Effective Date
6/9/2017
Last Updated
7/25/2022
Direct Contract
Yes
Term Date
6/30/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1004 Bankhead Hwy Building A, Suite 5
Carrollton, GA 30117
United States
County
Carroll
Phone
7708345609 (Phone)
Billing Details
Address
1004 Bankhead Hwy
Building A, Suite 5
Birmingham, AL 30117
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address