Contract Details
A Physiotherapy Associates Company
Facility name
Matrix Rehabilitation-Georgia, Inc.
Provider ID
P000008760
NPI
1518998970
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
9050 Periodot Parkway Suite E
Stockbridge, GA 30281
United States
County
Henry
Phone
7704740540 (Phone)
Billing Details
Address
P.O. Box 11407
Drawer 0981
Birmingham, AL 35246
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address